Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.09 / $365.09 / $9,062.00	Facility		$110.09	$365.09	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $163.01 / $475.31	Professional		$93.04	$163.01	$475.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.58 / $121.58 / $126.58	Professional		$121.58	$121.58	$126.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.80 / $178.50 / $263.14	Facility		$91.80	$178.50	$263.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $94.81 / $167.73	Professional		$41.00	$94.81	$167.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $560.00 / $615.00	Facility		$158.83	$560.00	$615.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.79 / $191.84 / $366.18	Professional		$109.79	$191.84	$366.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $184.16 / $247.74	Facility		$107.00	$184.16	$247.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $184.16 / $355.84	Professional		$35.00	$184.16	$355.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $187.18 / $288.88	Professional		$137.22	$187.18	$288.88
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,138.00 / $3,585.00	Facility		$100.00	$1,138.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.63 / $163.50 / $340.89	Professional		$119.63	$163.50	$340.89