Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.35 / $385.44 / $4,862.00	Facility		$149.35	$385.44	$4,862.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $145.31 / $223.88	Professional		$66.79	$145.31	$223.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.29 / $67.40 / $67.40	Professional		$57.29	$67.40	$67.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.81 / $78.81 / $78.81	Facility		$78.81	$78.81	$78.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $120.91 / $223.15	Professional		$70.09	$120.91	$223.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $190.76 / $394.85	Professional		$89.05	$190.76	$394.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.94 / $223.88 / $631.00	Facility		$83.94	$223.88	$631.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $721.91 / $721.91 / $721.91	Professional		$721.91	$721.91	$721.91
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 $162.68 / $227.82 / $429.58	Professional		$162.68	$227.82	$429.58