Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $4,897.79 / $16,595.87	Facility		$107.15	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $165.96	Professional		$61.66	$85.11	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $691.83 / $1,230.27	Facility		$389.05	$691.83	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $131.83	Professional		$57.54	$87.10	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $69.18	Facility		$53.70	$53.70	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $177.83	Professional		$72.44	$107.15	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $109.65 / $186.21	Facility		$66.07	$109.65	$186.21
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 $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $158.49	Professional		$63.10	$91.20	$158.49