Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $355.30 / $9,062.00	Facility		$27.91	$355.30	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $56.87 / $105.46	Professional		$24.82	$56.87	$105.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $48.82 / $49.03	Professional		$25.28	$48.82	$49.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.00 / $224.32 / $387.80	Facility		$104.00	$224.32	$387.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $30.00 / $57.18	Professional		$23.00	$30.00	$57.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $52.90 / $82.74	Professional		$28.70	$52.90	$82.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $58.55 / $82.11	Facility		$25.02	$58.55	$82.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $32.24 / $43.69	Professional		$25.45	$32.24	$43.69
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 $43.91 / $57.30 / $105.50	Professional		$43.91	$57.30	$105.50