Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.50 / $160.86 / $316.39	Facility		$66.50	$160.86	$316.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.14 / $81.58 / $140.55	Professional		$56.14	$81.58	$140.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $115.79 / $136.22	Professional		$75.45	$115.79	$136.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $317.39 / $606.41 / $972.30	Facility		$317.39	$606.41	$972.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $75.68 / $119.59	Professional		$56.90	$75.68	$119.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.03 / $99.56 / $100.00	Facility		$83.03	$99.56	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $99.75 / $163.86	Professional		$71.23	$99.75	$163.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.53 / $102.28 / $154.47	Facility		$66.53	$102.28	$154.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.91 / $76.91 / $76.91	Professional		$76.91	$76.91	$76.91
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 $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 $65.25 / $90.53 / $186.84	Professional		$65.25	$90.53	$186.84