Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $4,897.79 / $20,892.96	Facility		$309.03	$4,897.79	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $346.74	Professional		$114.82	$177.83	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $194.98	Professional		$107.15	$107.15	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,778.28 / $3,162.28	Facility		$794.33	$1,778.28	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $331.13	Professional		$102.33	$177.83	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $371.54 / $446.68	Facility		$346.74	$371.54	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $338.84	Professional		$138.04	$208.93	$338.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $223.87 / $371.54	Facility		$134.90	$223.87	$371.54
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 / $1,230.27 / $3,548.13	Facility		$380.19	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $302.00	Professional		$112.20	$177.83	$302.00