Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.47 / $576.23 / $9,062.00	Facility		$184.47	$576.23	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.19 / $162.53 / $313.18	Professional		$106.19	$162.53	$313.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.38 / $147.50 / $241.22	Professional		$125.38	$147.50	$241.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.50 / $393.78 / $626.27	Facility		$194.50	$393.78	$626.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.84 / $175.00 / $232.61	Professional		$106.84	$175.00	$232.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.84 / $159.00 / $234.93	Professional		$112.84	$159.00	$234.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.19 / $165.70 / $236.53	Facility		$106.19	$165.70	$236.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $161.36 / $235.24	Professional		$114.26	$161.36	$235.24
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,178.00 / $3,585.00	Facility		$358.00	$1,178.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $167.93 / $293.88	Professional		$126.57	$167.93	$293.88