Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $201.66 / $16,467.00	Facility		$94.80	$201.66	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $94.80 / $201.66	Professional		$70.27	$94.80	$201.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $96.60 / $96.60	Professional		$96.60	$96.60	$96.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.17 / $490.21 / $861.88	Facility		$244.17	$490.21	$861.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $86.25 / $144.86	Professional		$69.00	$86.25	$144.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.44 / $58.44 / $75.09	Facility		$58.44	$58.44	$75.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.16 / $113.85 / $200.21	Professional		$82.16	$113.85	$200.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.58 / $113.61 / $178.13	Facility		$80.58	$113.61	$178.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $51.70 / $69.28	Professional		$49.61	$51.70	$69.28
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 $85.47 / $118.61 / $237.20	Professional		$85.47	$118.61	$237.20