Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.43 / $889.85 / $20,879.81	Facility		$206.43	$889.85	$20,879.81
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $69.09 / $103.22 / $222.43	Facility	52	$69.09	$103.22	$222.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.11 / $179.50 / $329.64	Professional		$117.11	$179.50	$329.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.93 / $97.93 / $97.93	Professional		$97.93	$97.93	$97.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $686.29 / $1,764.01 / $3,048.31	Facility		$686.29	$1,764.01	$3,048.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.17 / $213.00 / $374.52	Professional		$107.17	$213.00	$374.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.41 / $347.41 / $446.43	Facility		$347.41	$347.41	$446.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.46 / $211.98 / $341.79	Professional		$138.46	$211.98	$341.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.19 / $227.07 / $334.00	Facility		$138.19	$227.07	$334.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $306.68 / $307.36 / $368.99	Professional		$306.68	$307.36	$368.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $187.73 / $293.23	Professional		$137.22	$187.73	$293.23
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 $157.47 / $233.31 / $448.63	Professional		$157.47	$233.31	$448.63