Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $891.25 / $6,165.95	Facility		$257.04	$891.25	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $194.98 / $501.19	Professional		$87.10	$194.98	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $162.18	Professional		$81.28	$97.72	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $234.42 / $1,819.70	Facility		$85.11	$234.42	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $208.93 / $316.23	Professional		$85.11	$208.93	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $467.74	Professional		$128.82	$257.04	$467.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $223.87 / $467.74	Facility		$102.33	$223.87	$467.74
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 $1,698.24 / $6,760.83 / $10,000.00	Facility		$1,698.24	$6,760.83	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $218.78 / $416.87	Professional		$100.00	$218.78	$416.87