Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.50 / $419.41 / $9,727.00	Facility		$133.50	$419.41	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $194.71 / $333.00	Professional		$121.92	$194.71	$333.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $148.91 / $148.91	Professional		$148.91	$148.91	$148.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $385.98 / $726.60 / $1,277.49	Facility		$385.98	$726.60	$1,277.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $159.44 / $239.79	Professional		$113.36	$159.44	$239.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.60 / $113.60 / $145.97	Facility		$113.60	$113.60	$145.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $202.37 / $343.37	Professional		$135.09	$202.37	$343.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.50 / $206.17 / $300.33	Facility		$133.50	$206.17	$300.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $100.50 / $150.05	Professional		$78.70	$100.50	$150.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $187.73 / $293.23	Professional		$137.22	$187.73	$293.23
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 $136.52 / $214.30 / $403.42	Professional		$136.52	$214.30	$403.42