Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.15 / $400.40 / $9,062.00	Facility		$108.15	$400.40	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $96.42 / $193.36	Professional		$47.06	$96.42	$193.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $44.37 / $95.37	Professional		$42.00	$44.37	$95.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $95.40 / $188.13	Professional		$46.14	$95.40	$188.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.76 / $109.83 / $264.39	Professional		$58.76	$109.83	$264.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.97 / $114.53 / $297.43	Facility		$61.97	$114.53	$297.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $427.28 / $427.28 / $427.28	Professional		$427.28	$427.28	$427.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.46 / $106.09 / $160.62	Professional		$78.46	$106.09	$160.62
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.58 / $180.20 / $323.39	Professional		$130.58	$180.20	$323.39