Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.17 / $197.75 / $9,062.00	Facility		$65.17	$197.75	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $96.53 / $212.81	Professional		$57.00	$96.53	$212.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.36 / $131.99 / $131.99	Professional		$104.36	$131.99	$131.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.40 / $232.17 / $387.80	Facility		$114.40	$232.17	$387.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $97.35 / $153.47	Professional		$58.22	$97.35	$153.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $98.67 / $179.66	Professional		$62.31	$98.67	$179.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.34 / $118.00 / $170.15	Facility		$58.34	$118.00	$170.15
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 $384.00 / $1,138.00 / $2,922.00	Facility		$384.00	$1,138.00	$2,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.56 / $133.01 / $214.36	Professional		$93.56	$133.01	$214.36