Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.04 / $248.20 / $9,062.00	Facility		$54.04	$248.20	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $82.45 / $189.85	Professional		$48.30	$82.45	$189.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $166.95	Professional		$117.24	$117.24	$166.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.15 / $222.54 / $386.52	Facility		$108.15	$222.54	$386.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.54 / $90.00 / $136.80	Professional		$47.54	$90.00	$136.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.48 / $81.81 / $159.90	Professional		$51.48	$81.81	$159.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.77 / $105.00 / $151.01	Facility		$49.77	$105.00	$151.01
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 $80.22 / $116.87 / $192.84	Professional		$80.22	$116.87	$192.84