Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.34 / $671.62 / $9,062.00	Facility		$105.34	$671.62	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $63.89 / $213.04	Professional		$35.50	$63.89	$213.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $36.67 / $49.46	Professional		$31.53	$36.67	$49.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $74.31 / $194.36	Professional		$35.47	$74.31	$194.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $106.55 / $309.11	Professional		$45.17	$106.55	$309.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.40 / $91.12 / $321.60	Facility		$44.40	$91.12	$321.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $674.76 / $674.76 / $674.76	Professional		$674.76	$674.76	$674.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $175.91 / $265.23	Professional		$129.44	$175.91	$265.23
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.96 / $203.39 / $333.86	Professional		$140.96	$203.39	$333.86