Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $223.87 / $3,801.89	Facility		$35.48	$223.87	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $60.26 / $154.88	Professional		$23.99	$60.26	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $53.70 / $95.50	Professional		$21.38	$53.70	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $141.25 / $269.15	Facility		$61.66	$141.25	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $46.77 / $85.11	Professional		$22.91	$46.77	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $67.61 / $125.89	Professional		$31.62	$67.61	$125.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $63.10 / $138.04	Facility		$28.84	$63.10	$138.04
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 / $57.54 / $138.04	Professional		$25.70	$57.54	$138.04