Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.25 / $791.00 / $9,062.00	Facility		$73.25	$791.00	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $96.06 / $154.13	Professional		$51.38	$96.06	$154.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $48.93 / $56.27	Professional		$48.93	$48.93	$56.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.58 / $1,475.33 / $3,019.42	Facility		$780.58	$1,475.33	$3,019.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $85.26 / $145.94	Professional		$50.89	$85.26	$145.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.06 / $84.00 / $560.00	Facility		$72.06	$84.00	$560.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $111.04 / $212.73	Professional		$62.64	$111.04	$212.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $118.90 / $188.63	Facility		$62.41	$118.90	$188.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $90.64 / $257.64	Professional		$65.00	$90.64	$257.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.07 / $171.56	Professional		$82.31	$112.07	$171.56
United Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $3,682.00 / $6,584.00	Facility		$438.00	$3,682.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $119.24 / $243.36	Professional		$87.30	$119.24	$243.36