Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,230.27 / $9,120.11	Facility		$66.07	$1,230.27	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $213.80	Professional		$43.65	$58.88	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $87.10	Professional		$39.81	$53.70	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $123.03	Professional		$43.65	$63.10	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $128.82	Professional		$58.88	$75.86	$128.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $69.18 / $120.23	Facility		$48.98	$69.18	$120.23
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 $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $114.82	Professional		$48.98	$64.57	$114.82