Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.28 / $201.29 / $16,467.00	Facility		$77.28	$201.29	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $113.62 / $212.43	Professional		$66.81	$113.62	$212.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.78 / $146.78 / $146.78	Professional		$146.78	$146.78	$146.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.98 / $405.05 / $629.99	Facility		$199.98	$405.05	$629.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.58 / $137.00 / $187.43	Professional		$66.58	$137.00	$187.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $117.01 / $198.52	Professional		$73.34	$117.01	$198.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.54 / $129.49 / $188.91	Facility		$69.54	$129.49	$188.91
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 $110.14 / $146.66 / $251.74	Professional		$110.14	$146.66	$251.74