Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.25 / $572.00 / $6,749.31	Facility		$186.25	$572.00	$6,749.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $130.90 / $328.25	Professional		$46.89	$130.90	$328.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $58.10 / $152.54	Professional		$44.63	$58.10	$152.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.47 / $120.55 / $207.69	Facility		$105.47	$120.55	$207.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $88.74 / $195.91	Professional		$48.52	$88.74	$195.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $159.80 / $326.12	Professional		$61.11	$159.80	$326.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.77 / $186.26 / $395.86	Facility		$57.77	$186.26	$395.86
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $134.31 / $403.50 / $775.50	Facility	50	$134.31	$403.50	$775.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $607.09 / $607.09 / $607.09	Professional		$607.09	$607.09	$607.09
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $910.63 / $910.63 / $910.63	Professional	50	$910.63	$910.63	$910.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $175.91 / $265.23	Professional		$129.44	$175.91	$265.23
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $199.87 / $345.41	Professional		$137.19	$199.87	$345.41