Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $4,168.69 / $8,912.51	Facility		$436.52	$4,168.69	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $245.47 / $831.76	Professional		$66.07	$245.47	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $302.00	Professional		$77.62	$134.90	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,380.38 / $2,570.40	Facility		$630.96	$1,380.38	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $371.54 / $588.84	Professional		$128.82	$371.54	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $562.34 / $831.76	Facility		$234.42	$562.34	$831.76
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	22	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $186.21 / $186.21 / $186.21	Facility	52	$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	53	$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $371.54 / $758.58	Professional		$165.96	$371.54	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $512.86	Professional		$478.63	$478.63	$512.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $371.54 / $691.83	Facility		$158.49	$371.54	$691.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
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 $128.82 / $309.03 / $549.54	Professional		$128.82	$309.03	$549.54