Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $3,776.00 / $9,727.00	Facility		$35.47	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $106.73 / $195.39	Professional		$26.16	$106.73	$195.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.89 / $120.89 / $120.89	Professional		$120.89	$120.89	$120.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.24 / $638.20 / $1,006.88	Facility		$338.24	$638.20	$1,006.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $39.60 / $148.22	Professional		$29.14	$39.60	$148.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $143.85 / $580.00	Facility		$51.00	$143.85	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $130.32 / $240.03	Professional		$39.08	$130.32	$240.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $134.63 / $228.89	Facility		$35.47	$134.63	$228.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.68 / $157.68 / $157.68	Professional		$157.68	$157.68	$157.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $148.27 / $228.07	Professional		$109.73	$148.27	$228.07
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 $103.65 / $143.19 / $293.76	Professional		$103.65	$143.19	$293.76