Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.89 / $3,776.00 / $9,727.00	Facility		$203.89	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.25 / $195.70 / $265.17	Professional		$136.25	$195.70	$265.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.42 / $185.42 / $185.42	Professional		$185.42	$185.42	$185.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.66 / $793.85 / $1,276.18	Facility		$411.66	$793.85	$1,276.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.54 / $193.44 / $337.62	Professional		$156.54	$193.44	$337.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.51 / $192.51 / $192.51	Facility		$192.51	$192.51	$192.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.76 / $226.23 / $442.51	Professional		$164.76	$226.23	$442.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.88 / $244.67 / $395.47	Facility		$172.88	$244.67	$395.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $189.88 / $189.88 / $189.88	Professional		$189.88	$189.88	$189.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.79 / $189.07 / $240.57	Professional		$152.79	$189.07	$240.57
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.37 / $203.06 / $338.14	Professional		$158.37	$203.06	$338.14