Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $3,801.89 / $9,772.37	Facility		$102.33	$3,801.89	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $213.80 / $398.11	Professional		$85.11	$213.80	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $478.63	Professional		$48.98	$72.44	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,348.96 / $3,235.94	Facility		$575.44	$1,348.96	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $223.87 / $389.05	Professional		$81.28	$223.87	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $416.87 / $831.76	Facility		$147.91	$416.87	$831.76
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	52	$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.51 / $29.51 / $29.51	Facility	53	$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $245.47 / $524.81	Professional		$102.33	$245.47	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $338.84	Professional		$323.59	$323.59	$338.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $245.47 / $478.63	Facility		$97.72	$245.47	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
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 / $6,165.95 / $10,000.00	Facility		$616.60	$6,165.95	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $190.55 / $354.81	Professional		$83.18	$190.55	$354.81