Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.51 / $556.50 / $9,062.00	Facility		$85.51	$556.50	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.45 / $70.58 / $195.18	Professional		$28.45	$70.58	$195.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $29.96 / $41.49	Professional		$25.74	$29.96	$41.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.32 / $357.31 / $699.92	Facility		$175.32	$357.31	$699.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $38.61 / $180.70	Professional		$28.98	$38.61	$180.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.01 / $213.01 / $213.01	Facility		$213.01	$213.01	$213.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $87.25 / $299.72	Professional		$35.72	$87.25	$299.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.35 / $188.56 / $308.64	Facility		$36.35	$188.56	$308.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $187.72 / $489.55	Professional		$187.72	$187.72	$489.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $140.97 / $212.45	Professional		$103.95	$140.97	$212.45
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 $143.63 / $183.59 / $347.08	Professional		$143.63	$183.59	$347.08