Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $184.92 / $9,062.00	Facility		$37.15	$184.92	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $64.87 / $165.01	Professional		$26.69	$64.87	$165.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $80.65 / $131.13	Professional		$80.65	$80.65	$131.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.15 / $222.54 / $386.52	Facility		$108.15	$222.54	$386.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $58.22 / $102.89	Professional		$32.58	$58.22	$102.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $57.68 / $129.26	Professional		$30.29	$57.68	$129.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.95 / $68.00 / $121.49	Facility		$32.95	$68.00	$121.49
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 $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 $64.17 / $93.75 / $138.36	Professional		$64.17	$93.75	$138.36