Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.05 / $882.30 / $4,375.00	Facility		$183.05	$882.30	$4,375.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.59 / $181.42 / $343.00	Professional		$109.59	$181.42	$343.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $181.42 / $181.42	Professional		$154.19	$181.42	$181.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.80 / $382.44 / $750.14	Facility		$185.80	$382.44	$750.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $147.30 / $216.09	Professional		$101.35	$147.30	$216.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.40 / $138.40 / $177.84	Facility		$138.40	$138.40	$177.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.97 / $161.47 / $311.94	Professional		$110.97	$161.47	$311.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $111.33 / $179.91 / $274.37	Facility		$111.33	$179.91	$274.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.94 / $122.44 / $138.99	Professional		$72.94	$122.44	$138.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $167.68 / $257.09	Professional		$122.20	$167.68	$257.09
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 $125.70 / $210.18 / $368.03	Professional		$125.70	$210.18	$368.03