Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,801.89 / $9,772.37	Facility		$691.83	$3,801.89	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $190.55 / $1,000.00	Professional		$61.66	$190.55	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $1,071.52	Professional		$54.95	$91.20	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,023.29 / $2,238.72	Facility		$478.63	$1,023.29	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $794.33	Professional		$57.54	$85.11	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $562.34 / $660.69	Facility		$112.20	$562.34	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $302.00 / $1,318.26	Professional		$75.86	$302.00	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,174.90	Professional		$1,122.02	$1,122.02	$1,174.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $549.54 / $1,230.27	Facility		$70.79	$549.54	$1,230.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
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 $616.60 / $6,165.95 / $10,000.00	Facility		$616.60	$6,165.95	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $407.38 / $1,148.15	Professional		$60.26	$407.38	$1,148.15