Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $4,265.80 / $9,772.37	Facility		$91.20	$4,265.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $109.65	Professional		$39.81	$72.44	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $251.19 / $446.68	Facility		$144.54	$251.19	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $63.10 / $102.33	Professional		$38.02	$63.10	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $77.62	Facility		$60.26	$60.26	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $85.11 / $151.36	Professional		$46.77	$85.11	$151.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $83.18 / $154.88	Facility		$42.66	$83.18	$154.88
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 $40.74 / $69.18 / $123.03	Professional		$40.74	$69.18	$123.03