Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.94 / $513.74 / $7,796.00	Facility		$134.94	$513.74	$7,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $112.70 / $228.54	Professional		$45.50	$112.70	$228.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $101.01 / $198.69	Professional		$46.62	$101.01	$198.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.59 / $372.14 / $626.27	Facility		$187.59	$372.14	$626.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $66.22 / $125.45	Professional		$45.00	$66.22	$125.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.97 / $145.97 / $145.97	Facility		$145.97	$145.97	$145.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $109.29 / $168.21	Professional		$52.64	$109.29	$168.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.73 / $121.36 / $166.92	Facility		$45.73	$121.36	$166.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $156.59 / $156.59	Professional		$156.59	$156.59	$156.59
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 $52.07 / $116.01 / $179.82	Professional		$52.07	$116.01	$179.82