Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.93 / $188.65 / $9,062.00	Facility		$55.93	$188.65	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $87.01 / $220.80	Professional		$45.72	$87.01	$220.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $98.50 / $116.36	Professional		$83.73	$98.50	$116.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.15 / $224.32 / $368.90	Facility		$108.15	$224.32	$368.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.70 / $78.44 / $130.26	Professional		$47.70	$78.44	$130.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $79.33 / $158.77	Professional		$50.85	$79.33	$158.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.09 / $96.00 / $149.36	Facility		$50.09	$96.00	$149.36
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 $51.59 / $108.20 / $168.09	Professional		$51.59	$108.20	$168.09