Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.70 / $449.69 / $4,862.00	Facility		$91.70	$449.69	$4,862.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $105.04 / $202.15	Professional		$64.45	$105.04	$202.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $32.04 / $52.53 / $71.81	Professional	52	$32.04	$52.53	$71.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.05 / $93.00 / $152.06	Professional		$79.05	$93.00	$152.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.64 / $222.54 / $405.95	Facility		$121.64	$222.54	$405.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $67.38 / $122.98	Professional		$34.00	$67.38	$122.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $97.77 / $150.69	Professional		$60.46	$97.77	$150.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.40 / $97.34 / $151.08	Facility		$61.40	$97.34	$151.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $117.12 / $157.40	Professional		$86.25	$117.12	$157.40
United Facility/Professional Facility Modifier Low / Median / High Price $156.63 / $1,122.00 / $3,585.00	Facility		$156.63	$1,122.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.08 / $105.30 / $184.28	Professional		$80.08	$105.30	$184.28