Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.20 / $243.10 / $883.57	Facility		$71.20	$243.10	$883.57
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.37 / $35.60 / $85.25	Facility	52	$15.37	$35.60	$85.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $60.39 / $141.91	Professional		$30.73	$60.39	$141.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.54 / $30.20 / $43.29	Professional	52	$12.54	$30.20	$43.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.15 / $85.04	Professional		$35.15	$35.15	$85.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.80 / $147.81 / $261.61	Facility		$72.80	$147.81	$261.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $49.18 / $81.43	Professional		$23.11	$49.18	$81.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $68.12 / $126.47	Professional		$34.00	$68.12	$126.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.74 / $78.25 / $134.47	Facility		$30.74	$78.25	$134.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $30.53 / $30.53	Professional		$30.53	$30.53	$30.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $75.30 / $118.77	Professional		$54.90	$75.30	$118.77
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 $58.02 / $82.41 / $167.71	Professional		$58.02	$82.41	$167.71