Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.27 / $501.62 / $5,866.00	Facility		$202.27	$501.62	$5,866.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.68 / $195.79 / $362.82	Professional		$131.68	$195.79	$362.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.99 / $226.29 / $226.29	Professional		$176.99	$226.29	$226.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.55 / $635.40 / $1,283.68	Facility		$372.55	$635.40	$1,283.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.05 / $174.56 / $266.97	Professional		$127.05	$174.56	$266.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.38 / $229.43 / $425.00	Facility		$140.38	$229.43	$425.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.49 / $215.60 / $386.96	Professional		$146.49	$215.60	$386.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.38 / $225.00 / $340.96	Facility		$148.38	$225.00	$340.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $225.00 / $478.46	Professional		$115.00	$225.00	$478.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $186.21 / $293.59	Professional		$127.82	$186.21	$293.59
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,138.00 / $3,585.00	Facility		$100.00	$1,138.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $223.20 / $414.24	Professional		$157.63	$223.20	$414.24