Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.40 / $346.71 / $7,799.00	Facility		$127.40	$346.71	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $121.51 / $223.83	Professional		$80.45	$121.51	$223.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.12 / $102.61 / $120.72	Professional		$92.12	$102.61	$120.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.26 / $165.82 / $263.14	Facility		$89.26	$165.82	$263.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $111.00 / $162.72	Professional		$67.44	$111.00	$162.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.75 / $142.26 / $210.05	Professional		$95.75	$142.26	$210.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.63 / $127.32 / $187.10	Facility		$73.63	$127.32	$187.10
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $14.62 / $21.84 / $26.19	Facility	AS	$14.62	$21.84	$26.19
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 $86.48 / $126.67 / $253.21	Professional		$86.48	$126.67	$253.21