Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,897.79 / $16,595.87	Facility		$389.05	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $501.19	Professional		$208.93	$309.03	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $616.60	Professional		$100.00	$100.00	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,548.13 / $6,918.31	Facility		$691.83	$3,548.13	$6,918.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $416.87	Professional		$199.53	$288.40	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $426.58 / $1,819.70	Facility		$363.08	$426.58	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $758.58	Professional		$234.42	$363.08	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $416.87	Professional		$389.05	$389.05	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $363.08 / $630.96	Facility		$229.09	$363.08	$630.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
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 $933.25 / $10,232.93 / $16,982.44	Facility		$933.25	$10,232.93	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $512.86	Professional		$194.98	$309.03	$512.86