Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.42 / $577.60 / $7,799.00	Facility		$209.42	$577.60	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $225.46 / $480.18	Professional		$124.85	$225.46	$480.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.79 / $199.15 / $234.29	Professional		$96.79	$199.15	$234.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.16 / $337.01 / $576.88	Facility		$160.16	$337.01	$576.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $163.72 / $333.90	Professional		$105.00	$163.72	$333.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $174.57 / $237.21	Facility		$100.00	$174.57	$237.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.61 / $287.36 / $552.85	Professional		$148.61	$287.36	$552.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $156.01 / $303.06 / $533.71	Facility		$156.01	$303.06	$533.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.51 / $146.51 / $146.51	Professional		$146.51	$146.51	$146.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $274.50 / $475.02	Professional		$31.57	$274.50	$475.02
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.40 / $310.10 / $705.20	Professional		$234.40	$310.10	$705.20