Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.75 / $590.58 / $7,423.48	Facility		$274.75	$590.58	$7,423.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $250.02 / $464.09	Professional		$163.36	$250.02	$464.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.31 / $231.70 / $455.75	Professional		$127.31	$231.70	$455.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.17 / $389.68 / $831.34	Facility		$191.17	$389.68	$831.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.52 / $202.80 / $318.26	Professional		$162.52	$202.80	$318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.27 / $307.27 / $307.27	Facility		$307.27	$307.27	$307.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.63 / $256.17 / $407.03	Professional		$176.63	$256.17	$407.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.96 / $247.47 / $367.30	Facility		$158.96	$247.47	$367.30
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 / $214.45 / $311.87	Professional		$29.53	$214.45	$311.87
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 $197.18 / $257.99 / $638.95	Professional		$197.18	$257.99	$638.95