Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.04 / $512.60 / $7,796.00	Facility		$227.04	$512.60	$7,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.95 / $307.83 / $672.99	Professional		$185.95	$307.83	$672.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.68 / $286.10 / $384.67	Professional		$236.68	$286.10	$384.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.02 / $1,283.82 / $2,126.10	Facility		$649.02	$1,283.82	$2,126.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $198.21 / $312.99	Professional		$109.00	$198.21	$312.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.84 / $251.57 / $560.00	Facility		$215.84	$251.57	$560.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.55 / $299.80 / $580.85	Professional		$179.55	$299.80	$580.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.02 / $274.72 / $486.93	Facility		$179.02	$274.72	$486.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $204.77 / $685.57	Professional		$105.00	$204.77	$685.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $237.83 / $392.08	Professional		$31.82	$237.83	$392.08
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 $217.86 / $283.07 / $553.79	Professional		$217.86	$283.07	$553.79