Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.56 / $349.30 / $3,776.00	Facility		$93.56	$349.30	$3,776.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $72.15 / $147.84	Professional		$32.59	$72.15	$147.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $58.75 / $106.68	Professional		$29.47	$58.75	$106.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.00 / $356.79 / $614.16	Facility		$186.00	$356.79	$614.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $37.00 / $86.87	Professional		$30.00	$37.00	$86.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $64.26 / $112.05	Professional		$36.04	$64.26	$112.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $73.00 / $107.59	Facility		$36.22	$73.00	$107.59
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 $61.14 / $79.97 / $139.94	Professional		$61.14	$79.97	$139.94