Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $4,897.79 / $16,595.87	Facility		$194.98	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $295.12	Professional		$141.25	$186.21	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $338.84 / $338.84	Professional	50	$338.84	$338.84	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,778.28 / $3,162.28	Facility		$1,023.29	$1,778.28	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $281.84	Professional		$128.82	$158.49	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $354.81	Professional		$125.89	$186.21	$354.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $194.98 / $371.54	Facility		$151.36	$194.98	$371.54
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 $1,995.26 / $10,964.78 / $16,982.44	Facility		$1,995.26	$10,964.78	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $251.19	Professional		$123.03	$162.18	$251.19