Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $4,897.79 / $9,772.37	Facility		$83.18	$4,897.79	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $64.57 / $95.50	Professional		$25.12	$64.57	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $70.79	Professional		$60.26	$60.26	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $208.93 / $363.08	Facility		$112.20	$208.93	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $93.33	Professional		$26.30	$41.69	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $61.66 / $109.65	Professional		$32.36	$61.66	$109.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $69.18 / $109.65	Facility		$28.18	$69.18	$109.65
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 $26.30 / $58.88 / $102.33	Professional		$26.30	$58.88	$102.33