Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $3,801.89 / $9,772.37	Facility		$208.93	$3,801.89	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $223.87	Professional		$93.33	$138.04	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $562.34 / $977.24	Facility		$323.59	$562.34	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $173.78	Professional		$91.20	$117.49	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $169.82	Facility		$100.00	$134.90	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $263.03	Professional		$112.20	$158.49	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $309.03	Professional		$213.80	$213.80	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $154.88 / $269.15	Facility		$104.71	$154.88	$269.15
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 $87.10 / $128.82 / $208.93	Professional		$87.10	$128.82	$208.93