Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $4,265.80 / $9,772.37	Facility		$288.40	$4,265.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $316.23	Professional		$95.50	$147.91	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $251.19	Professional		$87.10	$131.83	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $870.96 / $1,621.81	Facility		$436.52	$870.96	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $269.15	Professional		$97.72	$165.96	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $181.97	Facility		$100.00	$100.00	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $288.40	Professional		$125.89	$181.97	$288.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $162.18 / $269.15	Facility		$109.65	$162.18	$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 $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 $95.50 / $138.04 / $239.88	Professional		$95.50	$138.04	$239.88