Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $3,776.00 / $9,727.00	Facility		$73.56	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $111.52 / $183.07	Professional		$60.54	$111.52	$183.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $65.77	Professional		$65.77	$65.77	$65.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $105.30 / $186.44	Professional		$59.48	$105.30	$186.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $150.08 / $316.74	Professional		$71.59	$150.08	$316.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $184.55 / $708.00	Facility		$73.56	$184.55	$708.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $573.79 / $573.79 / $573.79	Professional		$573.79	$573.79	$573.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $140.97 / $212.45	Professional		$103.95	$140.97	$212.45
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.44 / $160.38 / $308.52	Professional		$93.44	$160.38	$308.52