Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.81 / $882.84 / $9,062.00	Facility		$254.81	$882.84	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.32 / $323.94 / $551.26	Professional		$209.32	$323.94	$551.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.69 / $107.69 / $107.69	Professional		$107.69	$107.69	$107.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.00 / $3,729.11 / $6,751.95	Facility		$589.00	$3,729.11	$6,751.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.37 / $300.77 / $448.37	Professional		$208.37	$300.77	$448.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $440.00 / $1,838.22	Facility		$375.00	$440.00	$1,838.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.01 / $358.33 / $669.58	Professional		$233.01	$358.33	$669.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $236.18 / $343.00 / $589.97	Facility		$236.18	$343.00	$589.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $398.00 / $1,569.80	Professional		$260.00	$398.00	$1,569.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $277.56 / $469.26	Professional		$31.82	$277.56	$469.26
United Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $10,069.00 / $16,249.00	Facility		$710.00	$10,069.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $365.19 / $692.42	Professional		$274.27	$365.19	$692.42