Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.67 / $4,230.00 / $9,727.00	Facility		$40.67	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $43.40 / $69.44	Professional		$33.21	$43.40	$69.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $45.36 / $45.36	Professional		$45.36	$45.36	$45.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.83 / $662.21 / $1,045.57	Facility		$321.83	$662.21	$1,045.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.38 / $81.14 / $134.18	Professional		$33.38	$81.14	$134.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.74 / $58.29 / $780.00	Facility		$31.74	$58.29	$780.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $63.87 / $103.39	Professional		$42.76	$63.87	$103.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.67 / $63.48 / $102.72	Facility		$40.67	$63.48	$102.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $74.90 / $117.88	Professional		$53.80	$74.90	$117.88
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $59.19 / $109.36	Professional		$37.25	$59.19	$109.36