Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.31 / $743.33 / $4,863.91	Facility		$119.31	$743.33	$4,863.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $96.43 / $237.64	Professional		$38.89	$96.43	$237.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $42.46 / $94.52	Professional		$42.46	$42.46	$94.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.93 / $864.28 / $1,808.32	Facility		$371.93	$864.28	$1,808.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $78.73 / $126.47	Professional		$39.70	$78.73	$126.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.26 / $80.26 / $103.14	Facility		$80.26	$80.26	$103.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $108.19 / $214.72	Professional		$52.85	$108.19	$214.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.54 / $101.78 / $186.46	Facility		$46.54	$101.78	$186.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $89.52 / $116.76	Professional		$71.00	$89.52	$116.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.28 / $174.46	Professional		$82.31	$112.28	$174.46
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $137.00 / $256.33	Professional		$96.36	$137.00	$256.33