Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.08 / $714.49 / $9,062.00	Facility		$117.08	$714.49	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $94.32 / $166.72	Professional		$50.00	$94.32	$166.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.87 / $105.54 / $134.94	Professional		$86.87	$105.54	$134.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.01 / $498.14 / $821.77	Facility		$212.01	$498.14	$821.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $88.32 / $140.31	Professional		$48.53	$88.32	$140.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.61 / $78.61 / $101.01	Facility		$78.61	$78.61	$101.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $114.70 / $192.18	Professional		$68.73	$114.70	$192.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.73 / $117.94 / $179.33	Facility		$62.73	$117.94	$179.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $69.54 / $102.03	Professional		$63.04	$69.54	$102.03
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 $89.98 / $135.19 / $252.90	Professional		$89.98	$135.19	$252.90