Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,348.96 / $7,943.28	Facility		$257.04	$1,348.96	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $389.05 / $741.31	Professional		$181.97	$389.05	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $380.19	Professional		$93.33	$134.90	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,380.38 / $2,691.53	Facility		$602.56	$1,380.38	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $446.68 / $602.56	Professional		$181.97	$446.68	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $1,023.29	Facility		$338.84	$562.34	$1,023.29
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	22	$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	52	$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	53	$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $436.52 / $933.25	Professional		$234.42	$436.52	$933.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $707.95	Professional		$691.83	$691.83	$707.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $457.09 / $851.14	Facility		$223.87	$457.09	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
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 $190.55 / $389.05 / $707.95	Professional		$190.55	$389.05	$707.95