Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.59 / $771.98 / $3,776.00	Facility		$162.59	$771.98	$3,776.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $139.99 / $293.70	Professional		$82.89	$139.99	$293.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.49 / $174.47 / $208.96	Professional		$139.49	$174.47	$208.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.43 / $649.45 / $1,082.01	Facility		$307.43	$649.45	$1,082.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $97.96 / $165.27	Professional		$53.00	$97.96	$165.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.18 / $168.18 / $168.18	Facility		$168.18	$168.18	$168.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $140.83 / $230.62	Professional		$94.13	$140.83	$230.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.86 / $135.00 / $194.43	Facility		$90.86	$135.00	$194.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $170.24 / $170.24 / $170.24	Professional		$170.24	$170.24	$170.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.87 / $129.19 / $177.11	Professional		$103.87	$129.19	$177.11
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 $108.89 / $143.85 / $237.35	Professional		$108.89	$143.85	$237.35