Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $323.59 / $9,120.11	Facility		$120.23	$323.59	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $281.84	Professional		$79.43	$123.03	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $100.00	Professional		$54.95	$74.13	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $371.54 / $660.69	Facility		$158.49	$371.54	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $190.55	Professional		$74.13	$112.20	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $134.90 / $575.44	Facility		$95.50	$134.90	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $213.80	Professional		$95.50	$138.04	$213.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $239.88	Professional		$190.55	$190.55	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $128.82 / $223.87	Facility		$83.18	$128.82	$223.87
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 $69.18 / $102.33 / $181.97	Professional		$69.18	$102.33	$181.97