Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,819.70 / $7,943.28	Facility		$218.78	$1,819.70	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $251.19	Professional		$72.44	$125.89	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $331.13	Professional		$33.88	$44.67	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,096.48 / $2,290.87	Facility		$501.19	$1,096.48	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $223.87	Professional		$74.13	$125.89	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $407.38 / $831.76	Facility		$134.90	$407.38	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $177.83 / $416.87	Professional		$91.20	$177.83	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $245.47	Professional		$223.87	$223.87	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $177.83 / $338.84	Facility		$85.11	$177.83	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
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 $74.13 / $147.91 / $263.03	Professional		$74.13	$147.91	$263.03