Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $109.65 / $181.97	Facility		$9.12	$109.65	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $194.98	Professional		$64.57	$97.72	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $162.18	Professional		$100.00	$104.71	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $257.04 / $457.09	Facility		$144.54	$257.04	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $123.03	Professional		$54.95	$77.62	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $104.71 / $114.82	Facility		$100.00	$104.71	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $177.83	Professional		$70.79	$107.15	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $218.78	Professional		$141.25	$141.25	$218.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $104.71 / $186.21	Facility		$69.18	$104.71	$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 / $1,174.90 / $3,548.13	Facility		$354.81	$1,174.90	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $144.54	Professional		$57.54	$87.10	$144.54