Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.11 / $932.45 / $9,062.00	Facility		$65.11	$932.45	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $330.76 / $624.46	Professional		$53.27	$330.76	$624.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $53.05 / $53.05	Professional		$53.05	$53.05	$53.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $752.95 / $1,620.13 / $2,823.89	Facility		$752.95	$1,620.13	$2,823.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $79.84 / $401.99	Professional		$49.35	$79.84	$401.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.98 / $401.98 / $516.54	Facility		$401.98	$401.98	$516.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $150.40 / $769.30	Professional		$64.26	$150.40	$769.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.11 / $411.39 / $725.06	Facility		$65.11	$411.39	$725.06
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $141.90 / $798.80 / $1,088.80	Facility	50	$141.90	$798.80	$1,088.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $313.57 / $355.65 / $469.37	Professional		$313.57	$355.65	$469.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $329.02 / $445.61 / $690.44	Professional		$329.02	$445.61	$690.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $3,109.00 / $7,558.00	Facility		$1,106.00	$3,109.00	$7,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.79 / $509.44 / $923.48	Professional		$299.79	$509.44	$923.48