Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.65 / $540.62 / $9,727.00	Facility		$106.65	$540.62	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.92 / $235.33 / $577.36	Professional		$87.92	$235.33	$577.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.09 / $57.09 / $114.17	Professional		$57.09	$57.09	$114.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $1,125.00 / $2,159.51	Facility		$520.00	$1,125.00	$2,159.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.55 / $188.40 / $1,091.74	Professional		$81.55	$188.40	$1,091.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.82 / $422.82 / $543.34	Facility		$422.82	$422.82	$543.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.84 / $238.44 / $717.47	Professional		$117.84	$238.44	$717.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.04 / $271.33 / $725.65	Facility		$102.04	$271.33	$725.65
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $236.15 / $859.65 / $1,109.45	Facility	50	$236.15	$859.65	$1,109.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $253.68 / $374.09 / $441.00	Professional		$253.68	$374.09	$441.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.04 / $261.93 / $404.63	Professional		$192.04	$261.93	$404.63
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.85 / $360.93 / $1,011.32	Professional		$200.85	$360.93	$1,011.32