Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $257.04 / $478.63	Facility		$70.79	$257.04	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $147.91	Professional		$47.86	$75.86	$147.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $117.49 / $117.49	Professional	50	$117.49	$117.49	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $69.18 / $97.72	Professional		$42.66	$69.18	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $234.42 / $426.58	Facility		$97.72	$234.42	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $93.33	Professional		$45.71	$60.26	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $100.00	Facility		$85.11	$85.11	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $144.54	Professional		$53.70	$81.28	$144.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $162.18	Professional		$104.71	$104.71	$162.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $79.43 / $138.04	Facility		$50.12	$79.43	$138.04
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 $43.65 / $66.07 / $109.65	Professional		$43.65	$66.07	$109.65