Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $4,897.79 / $16,595.87	Facility		$190.55	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $257.04	Professional		$91.20	$147.91	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $144.54	Professional		$128.82	$128.82	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,548.82 / $2,951.21	Facility		$660.69	$1,548.82	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $288.40	Professional		$89.13	$169.82	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $575.44	Facility		$169.82	$169.82	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $331.13	Professional		$120.23	$186.21	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $165.96 / $275.42	Facility		$100.00	$165.96	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $7,762.47	Facility		$1,096.48	$3,890.45	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $269.15	Professional		$87.10	$151.36	$269.15