Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $398.11 / $16,595.87	Facility		$141.25	$398.11	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $512.86	Professional		$109.65	$162.18	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $208.93	Professional		$120.23	$190.55	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $194.98 / $346.74	Facility		$109.65	$194.98	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $190.55	Professional		$93.33	$131.83	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $302.00	Professional		$114.82	$169.82	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $177.83 / $309.03	Facility		$120.23	$177.83	$309.03
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 $104.71 / $144.54 / $245.47	Professional		$104.71	$144.54	$245.47