Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.94 / $1,782.45 / $9,062.00	Facility		$134.94	$1,782.45	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $147.41 / $297.04	Professional		$104.59	$147.41	$297.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.28 / $151.10 / $191.96	Professional		$115.28	$151.10	$191.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.62 / $984.25 / $1,676.71	Facility		$476.62	$984.25	$1,676.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $224.21 / $344.33	Professional		$112.60	$224.21	$344.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $166.59 / $196.86	Facility		$100.00	$166.59	$196.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.78 / $206.33 / $334.18	Professional		$142.78	$206.33	$334.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.94 / $209.33 / $330.49	Facility		$134.94	$209.33	$330.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.60 / $168.60 / $168.60	Professional		$168.60	$168.60	$168.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $187.67 / $290.58	Professional		$137.22	$187.67	$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 $139.53 / $194.88 / $402.21	Professional		$139.53	$194.88	$402.21