Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $257.04 / $457.09	Facility		$83.18	$257.04	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $154.88	Professional		$47.86	$85.11	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $89.13	Professional		$48.98	$57.54	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $251.19 / $457.09	Facility		$95.50	$251.19	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $120.23	Professional		$50.12	$64.57	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $100.00 / $107.15	Facility		$89.13	$100.00	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $165.96	Professional		$56.23	$85.11	$165.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $199.53	Professional		$117.49	$117.49	$199.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $91.20 / $165.96	Facility		$52.48	$91.20	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,174.90 / $3,548.13	Facility		$354.81	$1,174.90	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $120.23	Professional		$42.66	$70.79	$120.23