Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.80 / $504.20 / $9,727.00	Facility		$88.80	$504.20	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.47 / $124.09 / $230.05	Professional		$78.47	$124.09	$230.05
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $39.24 / $62.05 / $86.02	Professional	52	$39.24	$62.05	$86.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.56 / $83.56 / $169.64	Professional		$83.56	$83.56	$169.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.01 / $393.78 / $626.27	Facility		$172.01	$393.78	$626.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $79.23 / $145.35	Professional		$49.00	$79.23	$145.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $116.88 / $177.15	Professional		$77.37	$116.88	$177.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $116.84 / $179.49	Facility		$76.00	$116.84	$179.49
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 $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.73 / $124.10 / $232.90	Professional		$94.73	$124.10	$232.90