Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $1,230.27 / $9,120.11	Facility		$72.44	$1,230.27	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $120.23 / $338.84	Professional		$57.54	$120.23	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $131.83	Professional		$52.48	$60.26	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $933.25 / $1,698.24	Facility		$489.78	$933.25	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $144.54 / $295.12	Professional		$54.95	$144.54	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $891.25	Facility		$104.71	$104.71	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $257.04	Professional		$83.18	$141.25	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $316.23	Professional		$275.42	$275.42	$316.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $138.04 / $269.15	Facility		$69.18	$138.04	$269.15
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 / $1,202.26 / $3,548.13	Facility		$354.81	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $208.93	Professional		$54.95	$109.65	$208.93