Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.45 / $615.75 / $9,062.00	Facility		$196.45	$615.75	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.43 / $220.76 / $326.11	Professional		$159.43	$220.76	$326.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $82.60 / $82.60	Professional		$82.60	$82.60	$82.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,495.69 / $4,057.00 / $6,758.10	Facility		$1,495.69	$4,057.00	$6,758.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.68 / $209.30 / $297.83	Professional		$153.68	$209.30	$297.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.53 / $190.60 / $570.00	Facility		$163.53	$190.60	$570.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $261.64 / $470.19	Professional		$173.28	$261.64	$470.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.45 / $276.70 / $414.29	Facility		$181.45	$276.70	$414.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.76 / $180.00 / $578.42	Professional		$162.76	$180.00	$578.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.85 / $224.15 / $343.13	Professional		$161.85	$224.15	$343.13
United Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $6,172.00 / $9,900.00	Facility		$614.00	$6,172.00	$9,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.62 / $259.20 / $502.28	Professional		$192.62	$259.20	$502.28