Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $288.40 / $16,595.87	Facility		$147.91	$288.40	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $123.03 / $263.03	Professional		$53.70	$123.03	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $147.91	Professional		$109.65	$123.03	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $194.98 / $346.74	Facility		$112.20	$194.98	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $100.00 / $169.82	Professional		$50.12	$100.00	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $181.97	Professional		$61.66	$100.00	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $112.20 / $177.83	Facility		$56.23	$112.20	$177.83
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 $53.70 / $97.72 / $173.78	Professional		$53.70	$97.72	$173.78