Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.92 / $665.99 / $5,866.00	Facility		$176.92	$665.99	$5,866.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $172.68 / $389.43	Professional		$110.64	$172.68	$389.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $153.85	Professional		$153.85	$153.85	$153.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.85 / $722.51 / $1,277.49	Facility		$367.85	$722.51	$1,277.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $162.00 / $271.00	Professional		$101.63	$162.00	$271.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.13 / $104.13 / $133.81	Facility		$104.13	$104.13	$133.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.47 / $183.86 / $311.99	Professional		$121.47	$183.86	$311.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.59 / $193.15 / $267.79	Facility		$119.59	$193.15	$267.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $92.13 / $138.04	Professional		$73.48	$92.13	$138.04
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 $384.00 / $1,138.00 / $2,922.00	Facility		$384.00	$1,138.00	$2,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $205.41 / $368.65	Professional		$139.41	$205.41	$368.65