Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $6,025.60 / $9,772.37	Facility		$602.56	$6,025.60	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $602.56	Professional		$229.09	$354.81	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $363.08	Professional		$218.78	$251.19	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $5,495.41	Facility		$1,659.59	$2,884.03	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $281.84 / $380.19	Professional		$138.04	$281.84	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $575.44 / $1,862.09	Facility		$371.54	$575.44	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $758.58	Professional		$204.17	$354.81	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $354.81 / $630.96	Facility		$213.80	$354.81	$630.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $10,232.93 / $16,982.44	Facility		$933.25	$10,232.93	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $478.63	Professional		$213.80	$316.23	$478.63