Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $562.34 / $7,762.47	Facility		$158.49	$562.34	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $190.55 / $446.68	Professional		$89.13	$190.55	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $416.87	Professional		$93.33	$107.15	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $338.84 / $588.84	Facility		$147.91	$338.84	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $269.15	Professional		$75.86	$125.89	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.78 / $323.59	Professional		$100.00	$173.78	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $165.96 / $309.03	Facility		$102.33	$165.96	$309.03
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 $1,122.02 / $3,890.45 / $7,762.47	Facility		$1,122.02	$3,890.45	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $269.15	Professional		$85.11	$147.91	$269.15