Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $8,128.31 / $12,022.64	Facility		$208.93	$8,128.31	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $204.17 / $323.59	Professional		$199.53	$204.17	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $245.47 / $478.63	Facility		$77.62	$245.47	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $257.04	Professional		$194.98	$239.88	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $199.53 / $199.53	Facility		$186.21	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $229.09 / $616.60	Facility		$107.15	$229.09	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $204.17 / $426.58	Facility		$199.53	$204.17	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $239.88	Professional		$199.53	$208.93	$239.88