Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.93 / $395.47 / $1,103.20	Facility		$129.93	$395.47	$1,103.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $130.36 / $191.81	Professional		$101.06	$130.36	$191.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.26 / $112.26 / $112.26	Professional		$112.26	$112.26	$112.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.63 / $264.57 / $443.57	Facility		$141.63	$264.57	$443.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $124.87 / $178.84	Professional		$54.00	$124.87	$178.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $112.11 / $191.07	Facility		$100.00	$112.11	$191.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $178.27 / $299.66	Professional		$122.08	$178.27	$299.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.30 / $177.69 / $280.33	Facility		$119.30	$177.69	$280.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $106.38 / $106.38	Professional		$106.38	$106.38	$106.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $150.60 / $235.77	Professional		$109.81	$150.60	$235.77
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 $118.66 / $162.10 / $344.92	Professional		$118.66	$162.10	$344.92