Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.85 / $387.10 / $7,799.00	Facility		$105.85	$387.10	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $105.84 / $280.80	Professional		$60.27	$105.84	$280.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $79.80 / $79.80	Professional		$79.80	$79.80	$79.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $391.92 / $723.79 / $1,265.72	Facility		$391.92	$723.79	$1,265.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $93.00 / $188.07	Professional		$57.03	$93.00	$188.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.84 / $65.84 / $375.00	Facility		$65.84	$65.84	$375.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $102.16 / $186.66	Professional		$67.75	$102.16	$186.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.51 / $111.14 / $171.19	Facility		$65.51	$111.14	$171.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $58.25 / $88.39	Professional		$44.39	$58.25	$88.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.28 / $174.46	Professional		$82.31	$112.28	$174.46
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $120.00 / $215.37	Professional		$73.45	$120.00	$215.37