Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.99 / $2,556.40 / $7,352.68	Facility		$260.99	$2,556.40	$7,352.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $201.65 / $467.42	Professional		$96.77	$201.65	$467.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.36 / $142.66 / $168.78	Professional		$101.36	$142.66	$168.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.00 / $2,277.98 / $4,944.55	Facility		$589.00	$2,277.98	$4,944.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $138.72 / $242.50	Professional		$93.00	$138.72	$242.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $440.00 / $645.24	Facility		$375.00	$440.00	$645.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $197.74 / $449.61	Professional		$102.72	$197.74	$449.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $203.07 / $368.64	Facility		$107.00	$203.07	$368.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.54 / $394.00 / $554.66	Professional		$104.54	$394.00	$554.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $193.75 / $320.59	Professional		$34.26	$193.75	$320.59
United Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $3,682.00 / $6,584.00	Facility		$438.00	$3,682.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.76 / $226.28 / $433.42	Professional		$164.76	$226.28	$433.42