Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $6,025.60 / $16,595.87	Facility		$218.78	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $309.03	Professional		$107.15	$173.78	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,548.13 / $6,918.31	Facility		$870.96	$3,548.13	$6,918.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $218.78	Professional		$100.00	$162.18	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $186.21 / $575.44	Facility		$144.54	$186.21	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $446.68	Professional		$120.23	$194.98	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $229.09	Professional		$223.87	$223.87	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $190.55 / $331.13	Facility		$117.49	$190.55	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $6,309.57 / $10,471.29	Facility		$616.60	$6,309.57	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $275.42	Professional		$100.00	$162.18	$275.42