Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $288.40 / $9,120.11	Facility		$85.11	$288.40	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $58.88 / $125.89	Professional		$28.18	$58.88	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $85.11	Professional		$39.81	$53.70	$85.11
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 $25.12 / $40.74 / $64.57	Professional		$25.12	$40.74	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $74.13	Professional		$30.90	$48.98	$74.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $52.48 / $81.28	Facility		$28.84	$52.48	$81.28
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 $26.92 / $44.67 / $75.86	Professional		$26.92	$44.67	$75.86