Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $4,265.80 / $9,772.37	Facility		$75.86	$4,265.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $177.83	Professional		$40.74	$67.61	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $117.49	Professional		$47.86	$58.88	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $194.98 / $354.81	Facility		$109.65	$194.98	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $89.13	Professional		$35.48	$52.48	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $93.33	Professional		$47.86	$66.07	$93.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $67.61 / $102.33	Facility		$44.67	$67.61	$102.33
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 $40.74 / $58.88 / $102.33	Professional		$40.74	$58.88	$102.33