Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $4,265.80 / $9,772.37	Facility		$138.04	$4,265.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $199.53	Professional		$74.13	$109.65	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $131.83 / $213.80	Professional		$70.79	$131.83	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $891.25	Facility		$138.04	$138.04	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $229.09	Professional		$95.50	$144.54	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $128.82 / $213.80	Facility		$85.11	$128.82	$213.80
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 $354.81 / $1,202.26 / $3,548.13	Facility		$354.81	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $194.98	Professional		$72.44	$109.65	$194.98