Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.33 / $1,002.40 / $4,751.00	Facility		$266.33	$1,002.40	$4,751.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $154.01 / $275.95	Professional		$101.45	$154.01	$275.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.42 / $113.42 / $113.42	Professional		$113.42	$113.42	$113.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.15 / $980.69 / $1,835.66	Facility		$504.15	$980.69	$1,835.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.79 / $176.00 / $305.79	Professional		$110.79	$176.00	$305.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.14 / $375.00 / $607.82	Facility		$193.14	$375.00	$607.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.59 / $197.52 / $324.51	Professional		$128.59	$197.52	$324.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.26 / $211.72 / $335.92	Facility		$133.26	$211.72	$335.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $518.09 / $518.09 / $518.09	Professional		$518.09	$518.09	$518.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $187.67 / $290.58	Professional		$137.22	$187.67	$290.58
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $183.02 / $428.65	Professional		$141.47	$183.02	$428.65