Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.49 / $785.89 / $9,062.00	Facility		$187.49	$785.89	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.35 / $187.49 / $427.70	Professional		$153.35	$187.49	$427.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.51 / $131.51 / $131.51	Professional		$131.51	$131.51	$131.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.80 / $341.05 / $576.79	Facility		$162.80	$341.05	$576.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $149.68 / $289.11	Professional		$71.00	$149.68	$289.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.82 / $422.82 / $543.34	Facility		$422.82	$422.82	$543.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $243.21 / $410.68	Professional		$190.70	$243.21	$410.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.74 / $228.37 / $367.32	Facility		$172.74	$228.37	$367.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $253.68 / $374.09 / $441.00	Professional		$253.68	$374.09	$441.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.59 / $189.34 / $309.78	Professional		$124.59	$189.34	$309.78
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.32 / $245.30 / $476.66	Professional		$171.32	$245.30	$476.66