Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.79 / $453.99 / $4,862.00	Facility		$48.79	$453.99	$4,862.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $91.26 / $181.74	Professional		$36.25	$91.26	$181.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $68.91 / $130.97	Professional		$37.36	$68.91	$130.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.49 / $374.29 / $613.66	Facility		$174.49	$374.29	$613.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $66.22 / $107.21	Professional		$42.77	$66.22	$107.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $118.47 / $118.47	Facility		$118.47	$118.47	$118.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $87.57 / $133.75	Professional		$41.92	$87.57	$133.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.71 / $99.33 / $132.75	Facility		$36.71	$99.33	$132.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $126.60 / $126.60	Professional		$126.60	$126.60	$126.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $97.39 / $134.20	Professional		$78.41	$97.39	$134.20
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,178.00 / $3,585.00	Facility		$358.00	$1,178.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $94.36 / $175.26	Professional		$72.72	$94.36	$175.26