Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.45 / $426.51 / $5,621.00	Facility		$65.45	$426.51	$5,621.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $70.45 / $140.88	Professional		$51.64	$70.45	$140.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $62.10 / $62.10	Professional		$52.79	$62.10	$62.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.61 / $222.54 / $387.80	Facility		$95.61	$222.54	$387.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $53.67 / $82.70	Professional		$31.00	$53.67	$82.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $69.51 / $98.41	Professional		$50.88	$69.51	$98.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.47 / $68.00 / $96.26	Facility		$50.47	$68.00	$96.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $51.77 / $78.89	Professional		$28.00	$51.77	$78.89
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 $46.94 / $65.00 / $108.48	Professional		$46.94	$65.00	$108.48