Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.81 / $206.15 / $9,062.00	Facility		$94.81	$206.15	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $42.22 / $88.20	Professional		$33.67	$42.22	$88.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $57.28 / $57.28	Professional		$57.28	$57.28	$57.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.63 / $312.93 / $556.05	Facility		$156.63	$312.93	$556.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $65.00 / $115.62	Professional		$32.00	$65.00	$115.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.94 / $157.94 / $202.96	Facility		$157.94	$157.94	$202.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $49.76 / $99.09	Professional		$38.52	$49.76	$99.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.89 / $62.90 / $121.00	Facility		$35.89	$62.90	$121.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $139.74 / $172.60	Professional		$62.09	$139.74	$172.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.71 / $63.26	Professional		$32.34	$40.71	$63.26
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 $32.88 / $48.86 / $91.96	Professional		$32.88	$48.86	$91.96