Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $4,677.35 / $9,772.37	Facility		$64.57	$4,677.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $177.83	Professional		$52.48	$102.33	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $147.91	Professional		$50.12	$87.10	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $891.25	Facility		$89.13	$89.13	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $218.78	Professional		$75.86	$123.03	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $112.20 / $204.17	Facility		$57.54	$112.20	$204.17
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 $50.12 / $97.72 / $190.55	Professional		$50.12	$97.72	$190.55