Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.84 / $630.16 / $4,751.00	Facility		$163.84	$630.16	$4,751.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.99 / $226.75 / $382.00	Professional		$145.99	$226.75	$382.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.92 / $214.60 / $357.53	Professional		$117.92	$214.60	$357.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.28 / $358.08 / $831.34	Facility		$181.28	$358.08	$831.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $177.36 / $279.55	Professional		$139.85	$177.36	$279.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.11 / $295.11 / $295.11	Facility		$295.11	$295.11	$295.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.57 / $218.38 / $377.68	Professional		$147.57	$218.38	$377.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.26 / $216.68 / $340.14	Facility		$139.26	$216.68	$340.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $282.00 / $282.00	Professional		$282.00	$282.00	$282.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $209.78 / $302.35	Professional		$30.34	$209.78	$302.35
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 $181.13 / $238.06 / $393.94	Professional		$181.13	$238.06	$393.94