Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $5,623.41 / $9,772.37	Facility		$436.52	$5,623.41	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $407.38	Professional		$162.18	$229.09	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,365.16 / $8,709.64	Facility		$933.25	$4,365.16	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $389.05	Professional		$147.91	$245.47	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $562.34 / $1,819.70	Facility		$281.84	$562.34	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $562.34	Professional		$177.83	$275.42	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $338.84	Professional		$316.23	$316.23	$338.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $269.15 / $457.09	Facility		$177.83	$269.15	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
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 $147.91 / $218.78 / $389.05	Professional		$147.91	$218.78	$389.05