Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $630.96 / $9,120.11	Facility		$75.86	$630.96	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $512.86	Professional		$194.98	$263.03	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $251.19	Professional		$158.49	$169.82	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $398.11 / $676.08	Facility		$213.80	$398.11	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $323.59	Professional		$194.98	$251.19	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $371.54 / $575.44	Facility		$208.93	$371.54	$575.44
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	54	$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $501.19	Professional		$213.80	$281.84	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $524.81	Professional		$323.59	$323.59	$524.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $281.84 / $489.78	Facility		$213.80	$281.84	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,202.26 / $3,548.13	Facility		$354.81	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $371.54	Professional		$173.78	$223.87	$371.54