Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $70.79 / $173.78	Facility		$37.15	$70.79	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $56.23 / $95.50	Professional		$30.20	$56.23	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $257.04 / $457.09	Facility		$144.54	$257.04	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $64.57 / $87.10	Professional		$30.20	$64.57	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $70.79 / $100.00	Facility		$56.23	$70.79	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $69.18 / $117.49	Professional		$38.90	$69.18	$117.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $141.25	Professional		$93.33	$93.33	$141.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $64.57 / $120.23	Facility		$33.88	$64.57	$120.23
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 / $1,202.26 / $3,548.13	Facility		$354.81	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $52.48 / $91.20	Professional		$29.51	$52.48	$91.20