Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.41 / $3,776.00 / $9,727.00	Facility		$202.41	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $190.36 / $232.88	Professional		$160.13	$190.36	$232.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $209.88 / $209.88 / $209.88	Professional		$209.88	$209.88	$209.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $409.97 / $687.05	Facility		$208.64	$409.97	$687.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $185.52 / $297.57	Professional		$132.00	$185.52	$297.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $197.81 / $302.42	Facility		$100.00	$197.81	$302.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.42 / $256.17 / $433.96	Professional		$198.42	$256.17	$433.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $185.52 / $247.35 / $424.00	Facility		$185.52	$247.35	$424.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $168.16 / $168.16	Professional		$168.16	$168.16	$168.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $171.53 / $298.91	Professional		$31.51	$171.53	$298.91
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.66 / $209.44 / $448.37	Professional		$159.66	$209.44	$448.37