Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.50 / $689.15 / $3,776.00	Facility		$213.50	$689.15	$3,776.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.27 / $270.37 / $435.07	Professional		$181.27	$270.37	$435.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.26 / $275.94 / $324.63	Professional		$238.26	$275.94	$324.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.01 / $361.86 / $831.34	Facility		$173.01	$361.86	$831.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $222.21 / $350.38	Professional		$183.00	$222.21	$350.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.73 / $324.73 / $324.73	Facility		$324.73	$324.73	$324.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.55 / $278.48 / $445.12	Professional		$191.55	$278.48	$445.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.36 / $280.30 / $401.60	Facility		$181.36	$280.30	$401.60
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 $29.53 / $226.31 / $342.30	Professional		$29.53	$226.31	$342.30
United Facility/Professional Facility Modifier Low / Median / High Price $294.06 / $1,122.00 / $3,585.00	Facility		$294.06	$1,122.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.20 / $285.74 / $500.05	Professional		$217.20	$285.74	$500.05