Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.19 / $461.47 / $836.24	Facility		$121.19	$461.47	$836.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $107.81 / $267.08	Professional		$55.56	$107.81	$267.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $92.51 / $92.51	Professional		$75.28	$92.51	$92.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.18 / $312.64 / $518.57	Facility		$133.18	$312.64	$518.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $98.67 / $165.99	Professional		$53.75	$98.67	$165.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $123.18 / $185.29	Professional		$63.75	$123.18	$185.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.85 / $121.19 / $192.19	Facility		$54.85	$121.19	$192.19
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 $85.26 / $105.00 / $236.95	Professional		$85.26	$105.00	$236.95