Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $4,265.80 / $11,220.18	Facility		$162.18	$4,265.80	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $407.38	Professional		$128.82	$204.17	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $158.49	Professional		$128.82	$154.88	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $707.95 / $1,288.25	Facility		$380.19	$707.95	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $302.00	Professional		$131.83	$213.80	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $269.15	Facility		$208.93	$208.93	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $389.05	Professional		$138.04	$213.80	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $251.19 / $446.68	Facility		$141.25	$251.19	$446.68
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 / $1,230.27 / $3,548.13	Facility		$380.19	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $338.84	Professional		$138.04	$199.53	$338.84