Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.17 / $198.63 / $16,467.00	Facility		$82.17	$198.63	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $117.34 / $198.63	Professional		$67.18	$117.34	$198.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.95 / $111.12 / $111.12	Professional		$85.95	$111.12	$111.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.29 / $756.48 / $1,338.73	Facility		$425.29	$756.48	$1,338.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $109.48 / $146.00	Professional		$67.68	$109.48	$146.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.17 / $122.17 / $122.17	Facility		$122.17	$122.17	$122.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $122.93 / $173.51	Professional		$76.56	$122.93	$173.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.42 / $125.00 / $172.01	Facility		$69.42	$125.00	$172.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $126.60 / $126.60	Professional		$126.60	$126.60	$126.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $97.39 / $134.20	Professional		$78.41	$97.39	$134.20
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 $96.09 / $119.17 / $208.55	Professional		$96.09	$119.17	$208.55