Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,071.52 / $7,585.78	Facility		$269.15	$1,071.52	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $213.80 / $630.96	Professional		$91.20	$213.80	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $165.96 / $371.54	Professional		$85.11	$165.96	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,318.26 / $2,691.53	Facility		$602.56	$1,318.26	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $275.42 / $512.86	Professional		$91.20	$275.42	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $575.44 / $602.56	Facility		$169.82	$575.44	$602.56
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.88 / $33.88 / $33.88	Facility	53	$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $478.63	Professional		$125.89	$218.78	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $234.42 / $436.52	Facility		$102.33	$234.42	$436.52
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 / $204.17 / $371.54	Professional		$87.10	$204.17	$371.54