Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $537.03 / $707.95	Facility		$109.65	$537.03	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $109.65 / $204.17	Professional		$66.07	$109.65	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $151.36	Professional		$58.88	$89.13	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $562.34 / $977.24	Facility		$323.59	$562.34	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $125.89	Professional		$64.57	$85.11	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $114.82	Facility		$100.00	$100.00	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $177.83	Professional		$75.86	$109.65	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $218.78	Professional		$144.54	$144.54	$218.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $107.15 / $186.21	Facility		$70.79	$107.15	$186.21
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 $58.88 / $87.10 / $147.91	Professional		$58.88	$87.10	$147.91