Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $316.23 / $16,595.87	Facility		$131.83	$316.23	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $120.23 / $239.88	Professional		$45.71	$120.23	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $173.78	Professional		$85.11	$107.15	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $199.53 / $346.74	Facility		$112.20	$199.53	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $138.04	Professional		$43.65	$79.43	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $85.11 / $158.49	Professional		$51.29	$85.11	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $91.20 / $151.36	Facility		$48.98	$91.20	$151.36
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 $43.65 / $81.28 / $147.91	Professional		$43.65	$81.28	$147.91