Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.05 / $242.20 / $9,062.00	Facility		$113.05	$242.20	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $108.46 / $214.66	Professional		$68.12	$108.46	$214.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $88.81 / $104.48	Professional		$84.10	$88.81	$104.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.26 / $160.36 / $265.24	Facility		$89.26	$160.36	$265.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $115.00 / $160.29	Professional		$58.37	$115.00	$160.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $126.03 / $177.83	Professional		$80.31	$126.03	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.46 / $110.63 / $167.70	Facility		$62.46	$110.63	$167.70
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $12.55 / $19.60 / $23.10	Facility	AS	$12.55	$19.60	$23.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $97.39 / $134.20	Professional		$78.41	$97.39	$134.20
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 $74.78 / $120.76 / $219.94	Professional		$74.78	$120.76	$219.94