Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.22 / $5,016.99 / $23,297.49	Facility		$605.22	$5,016.99	$23,297.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.45 / $605.22 / $637.34	Professional		$558.45	$605.22	$637.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $180.09 / $180.09	Professional		$180.09	$180.09	$180.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $386.44 / $627.36 / $921.65	Facility		$386.44	$627.36	$921.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.49 / $760.21 / $922.59	Professional		$662.49	$760.21	$922.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.36 / $738.14 / $1,014.95	Facility		$627.36	$738.14	$1,014.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Professional		$627.36	$627.36	$627.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $487.45 / $627.36 / $1,028.86	Facility		$487.45	$627.36	$1,028.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $487.45 / $487.45 / $948.12	Professional		$487.45	$487.45	$948.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $518.02 / $635.48	Professional		$30.00	$518.02	$635.48
United Facility/Professional Professional Modifier Low / Median / High Price $553.54 / $615.05 / $676.57	Professional		$553.54	$615.05	$676.57