Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.96 / $261.80 / $9,062.00	Facility		$49.96	$261.80	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $73.73 / $189.68	Professional		$38.90	$73.73	$189.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.46 / $93.46 / $93.46	Professional		$93.46	$93.46	$93.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.23 / $231.01 / $386.52	Facility		$118.23	$231.01	$386.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $73.00 / $128.24	Professional		$43.96	$73.00	$128.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.81 / $133.81 / $133.81	Facility		$133.81	$133.81	$133.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $74.04 / $150.47	Professional		$43.33	$74.04	$150.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.96 / $90.00 / $141.37	Facility		$43.96	$90.00	$141.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.87 / $141.87 / $141.87	Professional		$141.87	$141.87	$141.87
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 $71.23 / $109.43 / $162.71	Professional		$71.23	$109.43	$162.71