Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $4,897.79 / $9,772.37	Facility		$169.82	$4,897.79	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $229.09	Professional		$67.61	$125.89	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,548.82 / $2,951.21	Facility		$660.69	$1,548.82	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $213.80	Professional		$69.18	$123.03	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $371.54 / $776.25	Facility		$128.82	$371.54	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $257.04	Professional		$83.18	$144.54	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $346.74	Professional		$275.42	$275.42	$346.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $151.36 / $281.84	Facility		$79.43	$151.36	$281.84
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 $1,096.48 / $3,890.45 / $7,762.47	Facility		$1,096.48	$3,890.45	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $114.82 / $218.78	Professional		$64.57	$114.82	$218.78