Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $561.48 / $843.12	Facility		$152.16	$561.48	$843.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $105.04 / $192.15	Professional		$58.39	$105.04	$192.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.40 / $97.56 / $150.02	Professional		$80.40	$97.56	$150.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.48 / $316.50 / $532.47	Facility		$119.48	$316.50	$532.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $98.43 / $175.02	Professional		$54.50	$98.43	$175.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $119.45 / $175.64	Professional		$64.19	$119.45	$175.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.21 / $122.72 / $192.75	Facility		$58.21	$122.72	$192.75
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 $81.48 / $105.02 / $202.03	Professional		$81.48	$105.02	$202.03