Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $4,265.80 / $9,772.37	Facility		$288.40	$4,265.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $512.86	Professional		$107.15	$204.17	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $181.97	Professional		$93.33	$109.65	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $436.52 / $812.83	Facility		$208.93	$436.52	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $251.19	Professional		$104.71	$141.25	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $186.21 / $426.58	Facility		$147.91	$186.21	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $457.09	Professional		$114.82	$204.17	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $245.47	Professional		$223.87	$223.87	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $204.17 / $371.54	Facility		$112.20	$204.17	$371.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,174.90 / $2,951.21	Facility		$199.53	$1,174.90	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $281.84	Professional		$95.50	$162.18	$281.84