Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $4,897.79 / $16,595.87	Facility		$147.91	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $229.09	Professional		$89.13	$125.89	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $112.20 / $177.83	Professional		$38.02	$112.20	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,388.44 / $6,760.83	Facility		$1,174.90	$3,388.44	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $245.47	Professional		$72.44	$125.89	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $1,995.26	Facility		$371.54	$371.54	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $257.04	Professional		$97.72	$144.54	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $147.91 / $263.03	Facility		$97.72	$147.91	$263.03
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 $354.81 / $1,230.27 / $4,677.35	Facility		$354.81	$1,230.27	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $204.17	Professional		$83.18	$123.03	$204.17