Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.56 / $4,230.00 / $8,041.28	Facility		$294.56	$4,230.00	$8,041.28
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $78.66 / $147.28 / $321.64	Facility	52	$78.66	$147.28	$321.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $270.93 / $593.49	Professional		$128.88	$270.93	$593.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.51 / $130.51 / $130.51	Professional		$130.51	$130.51	$130.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $781.70 / $2,308.96 / $4,036.79	Facility		$781.70	$2,308.96	$4,036.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.01 / $274.74 / $499.59	Professional		$122.01	$274.74	$499.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,007.90 / $1,295.17	Facility		$375.00	$1,007.90	$1,295.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $273.29 / $489.72	Professional		$168.35	$273.29	$489.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $157.32 / $322.92 / $479.89	Facility		$157.32	$322.92	$479.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $469.90 / $891.75 / $1,036.14	Professional		$469.90	$891.75	$1,036.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.54 / $299.85 / $467.70	Professional		$219.54	$299.85	$467.70
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.27 / $332.90 / $647.24	Professional		$231.27	$332.90	$647.24