Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $3,548.13 / $9,120.11	Facility		$338.84	$3,548.13	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $398.11	Professional		$112.20	$223.87	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $134.90	Professional		$85.11	$123.03	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,737.80 / $3,019.95	Facility		$724.44	$1,737.80	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $251.19 / $398.11	Professional		$104.71	$251.19	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $457.09	Professional		$141.25	$245.47	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $257.04 / $501.19	Facility		$120.23	$257.04	$501.19
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 $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 $120.23 / $239.88 / $426.58	Professional		$120.23	$239.88	$426.58