Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.84 / $211.48 / $16,467.00	Facility		$81.84	$211.48	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $115.12 / $219.49	Professional		$66.00	$115.12	$219.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.33 / $127.33 / $127.33	Professional		$127.33	$127.33	$127.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.40 / $244.24 / $436.66	Facility		$114.40	$244.24	$436.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $122.00 / $177.50	Professional		$69.40	$122.00	$177.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.18 / $168.18 / $168.18	Facility		$168.18	$168.18	$168.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $116.05 / $204.44	Professional		$73.34	$116.05	$204.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.50 / $131.43 / $194.17	Facility		$72.50	$131.43	$194.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $176.24 / $176.24 / $176.24	Professional		$176.24	$176.24	$176.24
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 $104.27 / $150.66 / $248.59	Professional		$104.27	$150.66	$248.59