Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.69 / $3,776.00 / $9,870.00	Facility		$280.69	$3,776.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.18 / $280.69 / $460.24	Professional		$250.18	$280.69	$460.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $265.79 / $265.79 / $382.03	Professional		$265.79	$265.79	$382.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.10 / $306.14 / $943.26	Facility		$129.10	$306.14	$943.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $116.00 / $290.77	Professional		$67.00	$116.00	$290.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.54 / $175.54 / $175.54	Facility		$175.54	$175.54	$175.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.91 / $269.48 / $400.39	Professional		$239.91	$269.48	$400.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $241.63 / $279.72 / $336.83	Facility		$241.63	$279.72	$336.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.71 / $258.09 / $355.38	Professional		$205.71	$258.09	$355.38
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 $202.21 / $251.00 / $511.86	Professional		$202.21	$251.00	$511.86