Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $3,981.07 / $9,772.37	Facility		$186.21	$3,981.07	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $371.54	Professional		$144.54	$186.21	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $512.86	Professional		$131.83	$162.18	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,949.84 / $3,981.07	Facility		$851.14	$1,949.84	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $302.00 / $501.19	Professional		$141.25	$302.00	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $562.34 / $1,148.15	Facility		$269.15	$562.34	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $478.63	Professional		$165.96	$234.42	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $275.42	Professional		$239.88	$239.88	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $229.09 / $363.08	Facility		$158.49	$229.09	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
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 $134.90 / $181.97 / $323.59	Professional		$134.90	$181.97	$323.59