Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $3,801.89 / $9,772.37	Facility		$208.93	$3,801.89	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $446.68	Professional		$117.49	$177.83	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $162.18 / $245.47	Professional		$87.10	$162.18	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,570.88 / $8,511.38	Facility		$2,238.72	$4,570.88	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $234.42	Professional		$112.20	$158.49	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $208.93	Facility		$162.18	$162.18	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $323.59	Professional		$131.83	$169.82	$323.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $186.21 / $331.13	Facility		$128.82	$186.21	$331.13
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 $1,698.24 / $6,760.83 / $10,000.00	Facility		$1,698.24	$6,760.83	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $263.03	Professional		$112.20	$158.49	$263.03