Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.00 / $886.63 / $5,889.00	Facility		$252.00	$886.63	$5,889.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.29 / $161.68 / $295.24	Professional		$112.29	$161.68	$295.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $209.52 / $210.69	Professional		$178.09	$209.52	$210.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.37 / $572.58 / $1,107.27	Facility		$225.37	$572.58	$1,107.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $138.02 / $203.38	Professional		$115.00	$138.02	$203.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.83 / $107.83 / $505.00	Facility		$107.83	$107.83	$505.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.56 / $155.69 / $301.31	Professional		$117.56	$155.69	$301.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.05 / $160.30 / $259.95	Facility		$117.05	$160.30	$259.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $95.40 / $148.94	Professional		$57.82	$95.40	$148.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $131.80 / $202.71	Professional		$92.25	$131.80	$202.71
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 $109.09 / $157.18 / $312.58	Professional		$109.09	$157.18	$312.58