Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.42 / $109.28 / $254.55	Facility		$76.42	$109.28	$254.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $91.45 / $145.33	Professional		$65.11	$91.45	$145.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.21 / $138.21 / $138.21	Professional		$138.21	$138.21	$138.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.47 / $277.79 / $447.41	Facility		$145.47	$277.79	$447.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $75.29 / $118.71	Professional		$53.00	$75.29	$118.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $104.72 / $114.76	Facility		$100.00	$104.72	$114.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $105.88 / $188.31	Professional		$73.30	$105.88	$188.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.63 / $109.28 / $173.28	Facility		$75.63	$109.28	$173.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.02 / $96.02 / $96.02	Professional		$96.02	$96.02	$96.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.07 / $172.70	Professional		$82.31	$112.07	$172.70
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 $75.42 / $101.67 / $203.11	Professional		$75.42	$101.67	$203.11