Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $263.03 / $9,120.11	Facility		$107.15	$263.03	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $44.67 / $91.20	Professional		$14.13	$44.67	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $56.23 / $75.86	Professional		$15.14	$56.23	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $194.98 / $346.74	Facility		$109.65	$194.98	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.91 / $70.79	Professional		$14.13	$22.91	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $40.74 / $85.11	Professional		$17.38	$40.74	$85.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $42.66 / $87.10	Facility		$15.85	$42.66	$87.10
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 $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $40.74 / $72.44	Professional		$14.13	$40.74	$72.44