Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $6,025.60 / $16,595.87	Facility		$363.08	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $602.56	Professional		$218.78	$309.03	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $562.34	Professional		$194.98	$281.84	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $4,365.16 / $8,709.64	Facility		$870.96	$4,365.16	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $389.05	Professional		$204.17	$288.40	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $562.34 / $1,071.52	Facility		$389.05	$562.34	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $741.31	Professional		$234.42	$354.81	$741.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $457.09	Professional		$436.52	$436.52	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $354.81 / $588.84	Facility		$234.42	$354.81	$588.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
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 / $10,000.00	Facility		$616.60	$6,309.57	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $512.86	Professional		$204.17	$295.12	$512.86