Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $223.87 / $7,762.47	Facility		$53.70	$223.87	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $51.29 / $125.89	Professional		$25.12	$51.29	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $45.71 / $72.44	Professional		$40.74	$45.71	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $141.25 / $263.03	Facility		$56.23	$141.25	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $42.66 / $83.18	Professional		$22.39	$42.66	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $95.50	Professional		$30.20	$54.95	$95.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $53.70 / $102.33	Facility		$26.92	$53.70	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.67 / $107.15	Professional		$25.70	$44.67	$107.15