Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.36 / $2,124.36 / $6,497.99	Facility		$303.36	$2,124.36	$6,497.99
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $80.15 / $151.68 / $339.82	Facility	52	$80.15	$151.68	$339.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $210.00 / $595.19	Professional		$9.30	$210.00	$595.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $110.09 / $220.19	Professional		$66.12	$110.09	$220.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $825.30 / $1,961.06 / $3,929.62	Facility		$825.30	$1,961.06	$3,929.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $279.89 / $443.22	Professional		$123.01	$279.89	$443.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.90 / $1,007.90 / $1,295.17	Facility		$1,007.90	$1,007.90	$1,295.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.12 / $268.95 / $508.25	Professional		$171.12	$268.95	$508.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $160.30 / $319.99 / $482.07	Facility		$160.30	$319.99	$482.07
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 $1,471.00 / $6,743.00 / $9,900.00	Facility		$1,471.00	$6,743.00	$9,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.85 / $374.31 / $662.14	Professional		$240.85	$374.31	$662.14