Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.46 / $3,776.00 / $9,727.00	Facility		$118.46	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $136.94 / $226.10	Professional		$85.00	$136.94	$226.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $47.22 / $47.22	Professional		$47.22	$47.22	$47.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $955.48 / $1,856.33 / $3,116.16	Facility		$955.48	$1,856.33	$3,116.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $166.40 / $284.60	Professional		$92.25	$166.40	$284.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $810.92 / $810.92 / $810.92	Facility		$810.92	$810.92	$810.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.57 / $181.89 / $313.45	Professional		$102.57	$181.89	$313.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.08 / $199.63 / $390.03	Facility		$103.08	$199.63	$390.03
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $201.94 / $376.39 / $778.50	Facility	50	$201.94	$376.39	$778.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.70 / $660.70 / $660.70	Professional		$660.70	$660.70	$660.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.42 / $171.42 / $219.89	Professional		$131.42	$171.42	$219.89
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.65 / $180.81 / $307.38	Professional		$144.65	$180.81	$307.38