Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $7,943.28 / $16,595.87	Facility		$147.91	$7,943.28	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $407.38	Professional		$114.82	$154.88	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $707.95 / $1,258.93	Facility		$371.54	$707.95	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $263.03	Professional		$117.49	$165.96	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $100.00	Facility		$79.43	$79.43	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $263.03	Professional		$141.25	$186.21	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $190.55 / $338.84	Facility		$134.90	$190.55	$338.84
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 $1,122.02 / $3,890.45 / $7,762.47	Facility		$1,122.02	$3,890.45	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $281.84	Professional		$123.03	$173.78	$281.84