Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.92 / $339.85 / $5,866.00	Facility		$166.92	$339.85	$5,866.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.27 / $166.91 / $397.38	Professional		$103.27	$166.91	$397.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $248.24 / $248.24	Professional		$126.72	$248.24	$248.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.85 / $726.60 / $1,277.49	Facility		$367.85	$726.60	$1,277.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $153.00 / $271.07	Professional		$93.20	$153.00	$271.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.19 / $99.19 / $127.47	Facility		$99.19	$99.19	$127.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $171.21 / $294.36	Professional		$112.94	$171.21	$294.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $111.36 / $180.12 / $249.58	Facility		$111.36	$180.12	$249.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $87.76 / $130.94	Professional		$70.48	$87.76	$130.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $150.60 / $237.54	Professional		$109.81	$150.60	$237.54
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 $132.72 / $201.03 / $346.36	Professional		$132.72	$201.03	$346.36