Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.20 / $1,545.08 / $7,799.00	Facility		$175.20	$1,545.08	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $136.01 / $232.07	Professional		$60.78	$136.01	$232.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $94.99 / $94.99	Professional		$94.99	$94.99	$94.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.45 / $788.01 / $1,288.46	Facility		$405.45	$788.01	$1,288.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $100.80 / $193.43	Professional		$62.43	$100.80	$193.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.76 / $140.76 / $180.88	Facility		$140.76	$140.76	$180.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.28 / $181.72 / $336.45	Professional		$69.28	$181.72	$336.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.44 / $175.20 / $304.72	Facility		$77.44	$175.20	$304.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.54 / $136.51 / $182.79	Professional		$124.54	$136.51	$182.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $149.65 / $230.16	Professional		$109.73	$149.65	$230.16
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 $149.77 / $207.90 / $392.13	Professional		$149.77	$207.90	$392.13