Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $147.72 / $9,062.00	Facility		$68.45	$147.72	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $99.32 / $214.91	Professional		$57.00	$99.32	$214.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $111.83 / $177.30	Professional		$111.83	$111.83	$177.30
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 $61.12 / $97.00 / $152.47	Professional		$61.12	$97.00	$152.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.19 / $150.19 / $150.19	Facility		$150.19	$150.19	$150.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $97.10 / $176.38	Professional		$63.22	$97.10	$176.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.12 / $113.00 / $164.04	Facility		$61.12	$113.00	$164.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.51 / $146.51 / $146.51	Professional		$146.51	$146.51	$146.51
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 $89.78 / $129.49 / $190.01	Professional		$89.78	$129.49	$190.01