Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.44 / $892.72 / $9,062.00	Facility		$413.44	$892.72	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.89 / $341.88 / $601.64	Professional		$211.89	$341.88	$601.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.19 / $266.19 / $334.57	Professional		$266.19	$266.19	$334.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,641.88 / $5,296.85	Facility		$593.00	$2,641.88	$5,296.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $252.48 / $393.87	Professional		$152.00	$252.48	$393.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $440.00 / $834.39	Facility		$375.00	$440.00	$834.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.37 / $365.17 / $715.04	Professional		$225.37	$365.17	$715.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.81 / $374.89 / $605.78	Facility		$229.81	$374.89	$605.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.55 / $406.00 / $869.94	Professional		$138.55	$406.00	$869.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $333.36 / $542.04	Professional		$34.26	$333.36	$542.04
United Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $6,172.00 / $8,667.00	Facility		$586.00	$6,172.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.83 / $370.68 / $704.19	Professional		$285.83	$370.68	$704.19