Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $4,897.79 / $9,772.37	Facility		$416.87	$4,897.79	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $912.01 / $1,905.46	Professional		$147.91	$912.01	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,202.26 / $2,630.27	Facility		$676.08	$1,202.26	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $398.11 / $1,479.11	Professional		$87.10	$398.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $478.63 / $1,949.84	Professional		$169.82	$478.63	$1,949.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,148.15 / $1,819.70	Facility		$144.54	$1,148.15	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $23,988.33	Facility		$2,137.96	$13,182.57	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $870.96 / $1,737.80	Professional		$138.04	$870.96	$1,737.80