Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.51 / $1,378.70 / $9,062.00	Facility		$123.51	$1,378.70	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.75 / $134.99 / $289.55	Professional		$95.75	$134.99	$289.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.23 / $130.36 / $250.90	Professional		$106.23	$130.36	$250.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.81 / $983.24 / $1,676.71	Facility		$436.81	$983.24	$1,676.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $209.36 / $302.18	Professional		$103.76	$209.36	$302.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $136.97 / $181.52	Facility		$100.00	$136.97	$181.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.57 / $182.11 / $290.70	Professional		$130.57	$182.11	$290.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.51 / $183.27 / $284.38	Facility		$123.51	$183.27	$284.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.31 / $135.31 / $135.31	Professional		$135.31	$135.31	$135.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $187.09 / $290.58	Professional		$137.22	$187.09	$290.58
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.25 / $157.22 / $290.95	Professional		$118.25	$157.22	$290.95