Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $707.95 / $9,772.37	Facility		$223.87	$707.95	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $63.10 / $251.19	Professional		$23.99	$63.10	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $97.72	Professional		$33.11	$50.12	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $199.53 / $338.84	Facility		$107.15	$199.53	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $66.07	Professional		$21.88	$30.90	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $52.48 / $83.18	Professional		$28.18	$52.48	$83.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $52.48 / $75.86	Facility		$23.99	$52.48	$75.86
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 $22.39 / $47.86 / $79.43	Professional		$22.39	$47.86	$79.43