Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $4,265.80 / $9,772.37	Facility		$204.17	$4,265.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $89.13	Professional		$30.90	$41.69	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $323.59 / $575.44	Facility		$147.91	$323.59	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $102.33	Professional		$30.90	$44.67	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $204.17	Facility		$158.49	$158.49	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $104.71	Professional		$38.02	$47.86	$104.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $60.26 / $125.89	Facility		$35.48	$60.26	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $41.69 / $72.44	Professional		$31.62	$41.69	$72.44