Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $345.82 / $5,621.00	Facility		$84.06	$345.82	$5,621.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.92 / $85.71 / $167.15	Professional		$36.92	$85.71	$167.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.03 / $37.35 / $48.09	Professional	52	$15.03	$37.35	$48.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $14.92 / $104.24	Professional		$14.92	$14.92	$104.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.65 / $476.30 / $821.77	Facility		$210.65	$476.30	$821.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $68.51 / $111.04	Professional		$27.75	$68.51	$111.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.84 / $65.84 / $84.61	Facility		$65.84	$65.84	$84.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $83.18 / $158.62	Professional		$45.12	$83.18	$158.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.58 / $91.66 / $155.82	Facility		$40.58	$91.66	$155.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $58.25 / $87.29	Professional		$55.20	$58.25	$87.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.28 / $174.46	Professional		$82.31	$112.28	$174.46
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $101.97 / $197.72	Professional		$71.14	$101.97	$197.72