Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.70 / $250.14 / $521.13	Facility		$84.70	$250.14	$521.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.01 / $220.92 / $423.30	Professional		$121.01	$220.92	$423.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.08 / $198.08 / $198.08	Professional		$198.08	$198.08	$198.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.19 / $160.36 / $264.11	Facility		$85.19	$160.36	$264.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $128.43 / $253.90	Professional		$77.00	$128.43	$253.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.74 / $233.81 / $371.64	Professional		$125.74	$233.81	$371.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.81 / $239.44 / $363.02	Facility		$124.81	$239.44	$363.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $30.53 / $30.53	Professional		$30.53	$30.53	$30.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $203.90 / $317.01	Professional		$150.47	$203.90	$317.01
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 $179.09 / $267.89 / $517.66	Professional		$179.09	$267.89	$517.66