Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $257.04 / $524.81	Facility		$58.88	$257.04	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $190.55	Professional		$47.86	$85.11	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $93.33	Professional		$39.81	$48.98	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $251.19 / $457.09	Facility		$107.15	$251.19	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $112.20	Professional		$38.02	$64.57	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $85.11 / $100.00	Facility		$70.79	$85.11	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $151.36	Professional		$58.88	$97.72	$151.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $190.55	Professional		$134.90	$134.90	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $91.20 / $165.96	Facility		$48.98	$91.20	$165.96
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 $38.02 / $74.13 / $125.89	Professional		$38.02	$74.13	$125.89