Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.85 / $1,302.00 / $5,728.21	Facility		$205.85	$1,302.00	$5,728.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $144.81 / $236.99	Professional		$81.18	$144.81	$236.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $82.13 / $136.76	Professional		$76.40	$82.13	$136.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $1,581.00 / $3,747.42	Facility		$520.00	$1,581.00	$3,747.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $174.00 / $337.65	Professional		$79.45	$174.00	$337.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $440.00 / $933.68	Facility		$375.00	$440.00	$933.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.14 / $186.85 / $369.11	Professional		$99.14	$186.85	$369.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.02 / $206.92 / $380.22	Facility		$99.02	$206.92	$380.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $175.35 / $398.00 / $797.34	Professional		$175.35	$398.00	$797.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $187.67 / $288.88	Professional		$137.22	$187.67	$288.88
United Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $6,172.00 / $8,667.00	Facility		$586.00	$6,172.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.83 / $192.94 / $405.08	Professional		$143.83	$192.94	$405.08