Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.54 / $494.26 / $9,727.00	Facility		$203.54	$494.26	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.81 / $203.54 / $295.38	Professional		$161.81	$203.54	$295.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.43 / $160.43 / $160.43	Professional		$160.43	$160.43	$160.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,618.55 / $5,096.84 / $8,059.54	Facility		$2,618.55	$5,096.84	$8,059.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $184.35 / $326.94	Professional		$154.88	$184.35	$326.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.18 / $106.18 / $136.44	Facility		$106.18	$106.18	$136.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.09 / $248.87 / $435.27	Professional		$185.09	$248.87	$435.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.28 / $241.19 / $402.03	Facility		$175.28	$241.19	$402.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $93.94 / $135.85	Professional		$86.16	$93.94	$135.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.59 / $189.34 / $309.78	Professional		$124.59	$189.34	$309.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,507.74 / $10,069.00 / $16,249.00	Facility		$1,507.74	$10,069.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.91 / $257.94 / $499.04	Professional		$176.91	$257.94	$499.04