Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.93 / $352.35 / $512.79	Facility		$112.93	$352.35	$512.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $124.75 / $209.78	Professional		$93.98	$124.75	$209.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $181.56 / $214.79	Professional		$109.04	$181.56	$214.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.58 / $590.78 / $958.45	Facility		$312.58	$590.78	$958.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $161.88 / $252.89	Professional		$96.15	$161.88	$252.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $102.07 / $167.40	Facility		$100.00	$102.07	$167.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.58 / $171.03 / $259.67	Professional		$128.58	$171.03	$259.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.19 / $173.03 / $249.10	Facility		$115.19	$173.03	$249.10
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $211.75 / $310.50 / $402.95	Facility	50	$211.75	$310.50	$402.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.67 / $97.67 / $97.67	Professional		$97.67	$97.67	$97.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $150.13 / $235.77	Professional		$109.81	$150.13	$235.77
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 $107.40 / $146.84 / $288.51	Professional		$107.40	$146.84	$288.51