Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.45 / $523.60 / $4,862.00	Facility		$275.45	$523.60	$4,862.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $162.83 / $340.91	Professional		$112.83	$162.83	$340.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.63 / $118.63 / $145.87	Professional		$118.63	$118.63	$145.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.52 / $175.89 / $264.11	Facility		$92.52	$175.89	$264.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.87 / $205.00 / $298.75	Professional		$95.87	$205.00	$298.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $218.90 / $306.99	Professional		$132.46	$218.90	$306.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.77 / $177.35 / $289.24	Facility		$101.77	$177.35	$289.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $131.76 / $180.41	Professional		$105.90	$131.76	$180.41
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 $112.33 / $167.74 / $344.48	Professional		$112.33	$167.74	$344.48