Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.36 / $4,334.59 / $10,860.89	Facility		$363.36	$4,334.59	$10,860.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.18 / $275.58 / $617.59	Professional		$134.18	$275.58	$617.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.67 / $137.91 / $198.92	Professional		$118.67	$137.91	$198.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $3,895.12 / $7,980.68	Facility		$650.00	$3,895.12	$7,980.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $199.62 / $325.14	Professional		$128.93	$199.62	$325.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $440.00 / $1,842.86	Facility		$375.00	$440.00	$1,842.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $265.08 / $594.46	Professional		$141.36	$265.08	$594.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $153.86 / $275.31 / $488.09	Facility		$153.86	$275.31	$488.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $398.00 / $1,573.76	Professional		$157.50	$398.00	$1,573.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $268.96 / $449.12	Professional		$31.82	$268.96	$449.12
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,147.00 / $16,772.00	Facility		$791.00	$10,147.00	$16,772.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.47 / $302.79 / $687.20	Professional		$227.47	$302.79	$687.20