Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.67 / $191.83 / $16,467.00	Facility		$56.67	$191.83	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.67 / $93.81 / $166.30	Professional		$56.67	$93.81	$166.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $51.94 / $51.94	Professional		$51.94	$51.94	$51.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.40 / $232.17 / $387.80	Facility		$114.40	$232.17	$387.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $48.32 / $110.27	Professional		$30.00	$48.32	$110.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $97.90 / $149.01	Professional		$63.95	$97.90	$149.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.22 / $103.94 / $146.31	Facility		$52.22	$103.94	$146.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $97.39 / $134.20	Professional		$78.41	$97.39	$134.20
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,138.00 / $2,922.00	Facility		$384.00	$1,138.00	$2,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $103.94 / $181.90	Professional		$78.56	$103.94	$181.90