Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.30 / $2,409.48 / $7,799.00	Facility		$198.30	$2,409.48	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $186.17 / $397.11	Professional		$71.20	$186.17	$397.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.28 / $115.65 / $115.65	Professional		$95.28	$115.65	$115.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $142.80 / $228.50	Professional		$67.19	$142.80	$228.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $164.93 / $342.29	Professional		$85.48	$164.93	$342.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.48 / $233.00 / $376.77	Facility		$96.48	$233.00	$376.77
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $26.91 / $57.21 / $73.31	Facility	80	$26.91	$57.21	$73.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $608.92 / $608.92 / $608.92	Professional		$608.92	$608.92	$608.92
Medcost Facility/Professional Professional Modifier 80 Low / Median / High Price $121.79 / $121.79 / $121.79	Professional	80	$121.79	$121.79	$121.79
Medcost Facility/Professional Professional Modifier AS Low / Median / High Price $85.25 / $85.25 / $85.25	Professional	AS	$85.25	$85.25	$85.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.44 / $147.54 / $219.96	Professional		$105.44	$147.54	$219.96
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $2,922.00	Facility		$358.00	$1,221.00	$2,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.32 / $232.99 / $440.18	Professional		$175.32	$232.99	$440.18