Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.45 / $1,542.32 / $7,799.00	Facility		$268.45	$1,542.32	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $157.19 / $320.26	Professional		$81.18	$157.19	$320.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $90.95 / $141.57	Professional		$72.27	$90.95	$141.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.63 / $780.00 / $1,806.25	Facility		$463.63	$780.00	$1,806.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $168.00 / $321.43	Professional		$82.25	$168.00	$321.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.82 / $607.82 / $607.82	Facility		$607.82	$607.82	$607.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.66 / $217.91 / $440.89	Professional		$112.66	$217.91	$440.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.39 / $267.44 / $405.96	Facility		$95.39	$267.44	$405.96
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 $198.55 / $260.01 / $392.08	Professional		$198.55	$260.01	$392.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $4,018.00 / $6,584.00	Facility		$1,106.00	$4,018.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $299.11 / $571.37	Professional		$227.00	$299.11	$571.37