Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.59 / $1,947.18 / $4,751.00	Facility		$200.59	$1,947.18	$4,751.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $130.61 / $334.49	Professional		$68.87	$130.61	$334.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.54 / $76.89 / $141.93	Professional		$58.54	$76.89	$141.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,374.92 / $2,928.79	Facility		$650.00	$1,374.92	$2,928.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $139.13 / $213.45	Professional		$79.29	$139.13	$213.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $901.20 / $1,158.06	Facility		$375.00	$901.20	$1,158.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $150.00 / $321.62	Professional		$87.21	$150.00	$321.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.96 / $154.29 / $271.48	Facility		$94.96	$154.29	$271.48
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $197.13 / $229.45 / $376.11	Facility	50	$197.13	$229.45	$376.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $384.61 / $797.34 / $958.76	Professional		$384.61	$797.34	$958.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $187.73 / $293.23	Professional		$137.22	$187.73	$293.23
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 $115.31 / $189.01 / $343.71	Professional		$115.31	$189.01	$343.71