Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $5,248.07 / $9,772.37	Facility		$138.04	$5,248.07	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $309.03	Professional		$87.10	$128.82	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $208.93	Professional		$107.15	$138.04	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $537.03 / $1,148.15	Facility		$204.17	$537.03	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $181.97	Professional		$83.18	$120.23	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $109.65	Facility		$85.11	$85.11	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $234.42	Professional		$102.33	$134.90	$234.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $138.04 / $251.19	Facility		$97.72	$138.04	$251.19
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 $87.10 / $123.03 / $204.17	Professional		$87.10	$123.03	$204.17