Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $494.98 / $9,727.00	Facility		$104.40	$494.98	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.04 / $164.38 / $290.00	Professional		$95.04	$164.38	$290.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $74.44 / $271.52	Professional		$74.44	$74.44	$271.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.55 / $743.39 / $1,338.73	Facility		$372.55	$743.39	$1,338.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.17 / $132.88 / $226.93	Professional		$83.17	$132.88	$226.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.28 / $159.28 / $204.67	Facility		$159.28	$159.28	$204.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $177.74 / $336.87	Professional		$108.40	$177.74	$336.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $166.00 / $335.88	Facility		$102.00	$166.00	$335.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.91 / $141.36 / $212.26	Professional		$140.91	$141.36	$212.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $167.68 / $257.09	Professional		$122.20	$167.68	$257.09
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 $142.55 / $206.26 / $374.00	Professional		$142.55	$206.26	$374.00