Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.77 / $4,230.00 / $9,062.00	Facility		$89.77	$4,230.00	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $108.73 / $202.64	Professional		$76.73	$108.73	$202.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.53 / $97.53 / $97.53	Professional		$97.53	$97.53	$97.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.25 / $508.23 / $1,347.74	Facility		$209.25	$508.23	$1,347.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $112.20 / $152.83	Professional		$78.78	$112.20	$152.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $124.07 / $195.49	Professional		$88.41	$124.07	$195.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.23 / $121.19 / $170.98	Facility		$80.23	$121.19	$170.98
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 $99.68 / $125.32 / $210.44	Professional		$99.68	$125.32	$210.44