Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.25 / $289.24 / $502.50	Facility		$94.25	$289.24	$502.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.46 / $78.22 / $143.49	Professional		$48.46	$78.22	$143.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $69.22 / $139.77	Professional		$54.14	$69.22	$139.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.91 / $261.57 / $439.09	Facility		$111.91	$261.57	$439.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $64.94 / $110.81	Professional		$40.22	$64.94	$110.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $85.15 / $100.00	Facility		$71.45	$85.15	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $93.66 / $150.00	Professional		$60.41	$93.66	$150.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $99.34 / $158.16	Facility		$50.00	$99.34	$158.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.12 / $79.12 / $79.12	Professional		$79.12	$79.12	$79.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $111.83 / $172.70	Professional		$82.31	$111.83	$172.70
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,134.00 / $2,922.00	Facility		$358.00	$1,134.00	$2,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.42 / $91.42 / $189.06	Professional		$65.42	$91.42	$189.06