Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $478.63 / $16,595.87	Facility		$81.28	$478.63	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $186.21	Professional		$43.65	$79.43	$186.21
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $31.62 / $31.62 / $31.62	Professional	53	$31.62	$31.62	$31.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $81.28 / $120.23	Professional		$41.69	$81.28	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $331.13 / $588.84	Facility		$190.55	$331.13	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $109.65	Professional		$40.74	$67.61	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $63.10	Facility		$48.98	$48.98	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $141.25	Professional		$53.70	$83.18	$141.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $81.28 / $141.25	Facility		$45.71	$81.28	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $70.79 / $128.82	Professional		$45.71	$70.79	$128.82