Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $6,025.60 / $16,595.87	Facility		$467.74	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $331.13 / $616.60	Professional		$165.96	$331.13	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,380.38 / $3,388.44	Facility		$707.95	$1,380.38	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $416.87 / $575.44	Professional		$154.88	$416.87	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $562.34 / $1,412.54	Facility		$288.40	$562.34	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $912.01	Professional		$194.98	$371.54	$912.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $309.03	Professional		$269.15	$269.15	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $323.59 / $794.33	Facility		$181.97	$323.59	$794.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
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 $154.88 / $288.40 / $549.54	Professional		$154.88	$288.40	$549.54