Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.08 / $838.25 / $4,862.00	Facility		$325.08	$838.25	$4,862.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.86 / $188.02 / $262.06	Professional		$133.86	$188.02	$262.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.46 / $139.84 / $191.65	Professional		$114.46	$139.84	$191.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $517.77 / $952.18 / $2,256.40	Facility		$517.77	$952.18	$2,256.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.52 / $216.00 / $321.87	Professional		$131.52	$216.00	$321.87
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 $159.00 / $209.67 / $352.12	Professional		$159.00	$209.67	$352.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $155.21 / $232.73 / $332.43	Facility		$155.21	$232.73	$332.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $270.43 / $374.09 / $441.00	Professional		$270.43	$374.09	$441.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.81 / $150.60 / $224.27	Professional		$121.81	$150.60	$224.27
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $7,558.00	Facility		$461.00	$3,866.00	$7,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $241.26 / $400.88	Professional		$160.13	$241.26	$400.88