Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.43 / $3,776.00 / $9,727.00	Facility		$93.43	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $131.62 / $211.09	Professional		$82.91	$131.62	$211.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.40 / $188.40 / $188.40	Professional		$188.40	$188.40	$188.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.10 / $393.78 / $626.27	Facility		$195.10	$393.78	$626.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.54 / $145.00 / $190.14	Professional		$84.54	$145.00	$190.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $126.39 / $191.44	Professional		$87.81	$126.39	$191.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.15 / $133.00 / $199.29	Facility		$84.15	$133.00	$199.29
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 $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 $99.53 / $131.94 / $230.90	Professional		$99.53	$131.94	$230.90