Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.26 / $680.47 / $4,544.46	Facility		$256.26	$680.47	$4,544.46
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $52.24 / $70.13 / $173.18	Facility	52	$52.24	$70.13	$173.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $117.91 / $213.38	Professional		$86.67	$117.91	$213.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.12 / $81.83 / $136.25	Professional		$76.12	$81.83	$136.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.15 / $335.43 / $575.73	Facility		$159.15	$335.43	$575.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $89.55 / $142.59	Professional		$38.00	$89.55	$142.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.22 / $132.22 / $132.22	Facility		$132.22	$132.22	$132.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $126.32 / $198.93	Professional		$95.95	$126.32	$198.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $120.14 / $177.14	Facility		$76.00	$120.14	$177.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $133.68 / $133.68 / $133.68	Professional		$133.68	$133.68	$133.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $117.12 / $157.40	Professional		$86.25	$117.12	$157.40
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 $94.45 / $124.10 / $224.56	Professional		$94.45	$124.10	$224.56