Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,897.79 / $16,595.87	Facility		$100.00	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $89.13 / $213.80	Professional		$47.86	$89.13	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $158.49	Professional		$64.57	$104.71	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $154.88 / $269.15	Facility		$87.10	$154.88	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $100.00 / $165.96	Professional		$48.98	$100.00	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $138.04	Professional		$60.26	$97.72	$138.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $93.33 / $151.36	Facility		$53.70	$93.33	$151.36
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 $48.98 / $83.18 / $147.91	Professional		$48.98	$83.18	$147.91