Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.22 / $402.05 / $9,062.00	Facility		$154.22	$402.05	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $124.45 / $203.42	Professional		$89.95	$124.45	$203.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.52 / $194.52 / $194.52	Professional		$194.52	$194.52	$194.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.82 / $616.46 / $972.30	Facility		$333.82	$616.46	$972.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $111.89 / $178.05	Professional		$92.00	$111.89	$178.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $133.81 / $168.47	Facility		$100.00	$133.81	$168.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.97 / $157.08 / $270.01	Professional		$112.97	$157.08	$270.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $158.00 / $250.03	Facility		$112.20	$158.00	$250.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $125.49 / $125.49	Professional		$125.49	$125.49	$125.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $148.85 / $228.07	Professional		$109.73	$148.85	$228.07
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 $109.02 / $146.91 / $307.44	Professional		$109.02	$146.91	$307.44