Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,445.44 / $7,943.28	Facility		$363.08	$1,445.44	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $338.84 / $977.24	Professional		$165.96	$338.84	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $218.78 / $1,047.13	Professional		$83.18	$218.78	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,348.96 / $3,388.44	Facility		$630.96	$1,348.96	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $416.87 / $724.44	Professional		$158.49	$416.87	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $562.34 / $1,096.48	Facility		$295.12	$562.34	$1,096.48
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	52	$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $389.05 / $1,258.93	Professional		$199.53	$389.05	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $302.00	Professional		$263.03	$263.03	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $331.13 / $1,047.13	Facility		$186.21	$331.13	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
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 / $6,309.57 / $10,000.00	Facility		$616.60	$6,309.57	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $724.44	Professional		$158.49	$288.40	$724.44