Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,511.89 / $7,943.28	Facility		$446.68	$2,511.89	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $338.84 / $691.83	Professional		$169.82	$338.84	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $302.00	Professional		$75.86	$173.78	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,348.96 / $2,951.21	Facility		$630.96	$1,348.96	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $407.38 / $537.03	Professional		$158.49	$407.38	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $562.34 / $831.76	Facility		$295.12	$562.34	$831.76
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	22	$354.81	$354.81	$354.81
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 Facility Modifier 53 Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	53	$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $812.83	Professional		$204.17	$363.08	$812.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $323.59	Professional		$281.84	$281.84	$323.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $331.13 / $707.95	Facility		$190.55	$331.13	$707.95
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 / $6,165.95 / $10,000.00	Facility		$616.60	$6,165.95	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $501.19	Professional		$165.96	$288.40	$501.19