Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.82 / $347.71 / $9,062.00	Facility		$109.82	$347.71	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $109.81 / $189.48	Professional		$57.40	$109.81	$189.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.36 / $105.36 / $105.36	Professional		$105.36	$105.36	$105.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.59 / $367.55 / $650.00	Facility		$178.59	$367.55	$650.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $106.43 / $209.60	Professional		$51.16	$106.43	$209.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.73 / $75.73 / $97.32	Facility		$75.73	$75.73	$97.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $140.60 / $225.43	Professional		$76.30	$140.60	$225.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.01 / $126.29 / $212.00	Facility		$63.01	$126.29	$212.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $75.42 / $102.03	Professional		$67.00	$75.42	$102.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.28 / $174.46	Professional		$82.31	$112.28	$174.46
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 $93.78 / $152.66 / $262.95	Professional		$93.78	$152.66	$262.95