Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $4,897.79 / $16,595.87	Facility		$107.15	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $147.91	Professional		$57.54	$83.18	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $354.81 / $630.96	Facility		$194.98	$354.81	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $141.25	Professional		$60.26	$102.33	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $151.36	Professional		$67.61	$95.50	$151.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $97.72 / $141.25	Facility		$67.61	$97.72	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $147.91	Professional		$57.54	$81.28	$147.91