Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $5,189.54 / $16,467.00	Facility		$203.81	$5,189.54	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.37 / $203.81 / $471.04	Professional		$169.37	$203.81	$471.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.12 / $172.12 / $184.13	Professional		$172.12	$172.12	$184.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $650.00 / $780.00	Facility		$520.00	$650.00	$780.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.11 / $445.00 / $784.20	Professional		$160.11	$445.00	$784.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.98 / $265.07 / $444.57	Professional		$230.98	$265.07	$444.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $252.71 / $383.55	Facility		$176.00	$252.71	$383.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $189.80 / $299.97	Professional		$137.30	$189.80	$299.97
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $272.01 / $453.23	Professional		$169.00	$272.01	$453.23