Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $6,025.60 / $16,595.87	Facility		$51.29	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $112.20	Professional		$32.36	$45.71	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $43.65 / $51.29	Professional		$27.54	$43.65	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $562.34 / $1,023.29	Facility		$316.23	$562.34	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $117.49	Professional		$30.20	$50.12	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $58.88 / $776.25	Facility		$31.62	$58.88	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $104.71	Professional		$40.74	$64.57	$104.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $102.33	Professional		$93.33	$93.33	$102.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $56.23 / $95.50	Facility		$37.15	$56.23	$95.50
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 $354.81 / $1,230.27 / $3,548.13	Facility		$354.81	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $46.77 / $87.10	Professional		$31.62	$46.77	$87.10