Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $263.03 / $16,595.87	Facility		$125.89	$263.03	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $102.33 / $234.42	Professional		$38.90	$102.33	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $93.33 / $112.20	Professional		$43.65	$93.33	$112.20
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 $38.02 / $79.43 / $138.04	Professional		$38.02	$79.43	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $151.36	Professional		$44.67	$77.62	$151.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $85.11 / $144.54	Facility		$42.66	$85.11	$144.54
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 $38.02 / $77.62 / $131.83	Professional		$38.02	$77.62	$131.83