Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $3,801.89 / $9,772.37	Facility		$251.19	$3,801.89	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $128.82 / $257.04	Professional		$61.66	$128.82	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $234.42	Professional		$89.13	$141.25	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $194.98 / $354.81	Facility		$120.23	$194.98	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $190.55	Professional		$64.57	$91.20	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $251.19	Professional		$69.18	$131.83	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $107.15 / $186.21	Facility		$61.66	$107.15	$186.21
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 / $1,230.27 / $3,548.13	Facility		$380.19	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $218.78	Professional		$70.79	$120.23	$218.78