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 / $16,595.87	Facility		$602.56	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $758.58	Professional		$229.09	$389.05	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $977.24	Professional		$354.81	$398.11	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,691.53 / $5,495.41	Facility		$707.95	$2,691.53	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $436.52	Professional		$194.98	$363.08	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $645.65 / $1,862.09	Facility		$537.03	$645.65	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $851.14	Professional		$245.47	$371.54	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $398.11	Professional		$389.05	$389.05	$398.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $389.05 / $676.08	Facility		$245.47	$389.05	$676.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
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 $218.78 / $338.84 / $537.03	Professional		$218.78	$338.84	$537.03