Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $4,897.79 / $9,772.37	Facility		$239.88	$4,897.79	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $446.68	Professional		$169.82	$218.78	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $371.54 / $676.08	Facility		$213.80	$371.54	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $331.13	Professional		$190.55	$229.09	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $208.93 / $331.13	Facility		$100.00	$208.93	$331.13
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	54	$229.09	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $446.68	Professional		$199.53	$269.15	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $489.78	Professional		$323.59	$323.59	$489.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $269.15 / $457.09	Facility		$194.98	$269.15	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,202.26 / $3,548.13	Facility		$354.81	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $338.84	Professional		$158.49	$213.80	$338.84