Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $4,897.79 / $16,595.87	Facility		$239.88	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $269.15	Professional		$85.11	$177.83	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,862.09 / $3,801.89	Facility		$691.83	$1,862.09	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $181.97 / $257.04	Professional		$87.10	$181.97	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $426.58 / $1,023.29	Facility		$151.36	$426.58	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $426.58	Professional		$102.33	$204.17	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $309.03	Professional		$281.84	$281.84	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $208.93 / $389.05	Facility		$100.00	$208.93	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
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 $83.18 / $169.82 / $309.03	Professional		$83.18	$169.82	$309.03