Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.38 / $696.19 / $9,062.00	Facility		$212.38	$696.19	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $214.02 / $326.07	Professional		$129.88	$214.02	$326.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.29 / $148.29 / $174.45	Professional		$148.29	$148.29	$174.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.76 / $520.00 / $821.77	Facility		$242.76	$520.00	$821.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.61 / $211.00 / $318.33	Professional		$124.61	$211.00	$318.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.30 / $166.30 / $375.00	Facility		$166.30	$166.30	$375.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $257.83 / $437.22	Professional		$154.00	$257.83	$437.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $149.97 / $271.00 / $387.07	Facility		$149.97	$271.00	$387.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $147.13 / $217.09	Professional		$93.96	$147.13	$217.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.63 / $224.56 / $348.93	Professional		$164.63	$224.56	$348.93
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 $199.88 / $296.33 / $580.76	Professional		$199.88	$296.33	$580.76