Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $7,943.28 / $16,595.87	Facility		$131.83	$7,943.28	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $218.78	Professional		$100.00	$120.23	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $549.54	Professional		$100.00	$169.82	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $371.54 / $616.60	Facility		$34.67	$371.54	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $338.84	Professional		$114.82	$154.88	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $199.53	Professional		$169.82	$169.82	$199.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $158.49 / $251.19	Facility		$112.20	$158.49	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
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 $478.63 / $6,165.95 / $8,912.51	Facility		$478.63	$6,165.95	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $218.78	Professional		$93.33	$125.89	$218.78