Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $245.47 / $16,595.87	Facility		$131.83	$245.47	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $107.15 / $239.88	Professional		$45.71	$107.15	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $165.96	Professional		$85.11	$112.20	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $194.98 / $346.74	Facility		$109.65	$194.98	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $91.20 / $147.91	Professional		$42.66	$91.20	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $89.13 / $158.49	Professional		$51.29	$89.13	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $100.00 / $151.36	Facility		$47.86	$100.00	$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 $44.67 / $83.18 / $147.91	Professional		$44.67	$83.18	$147.91