Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.84 / $441.96 / $8,464.73	Facility		$120.84	$441.96	$8,464.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $120.85 / $323.85	Professional		$69.29	$120.85	$323.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $109.91 / $178.62	Professional		$56.10	$109.91	$178.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.80 / $382.44 / $697.40	Facility		$185.80	$382.44	$697.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $85.03 / $136.46	Professional		$61.40	$85.03	$136.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.08 / $74.08 / $95.19	Facility		$74.08	$74.08	$95.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $118.48 / $212.27	Professional		$76.70	$118.48	$212.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.08 / $120.85 / $188.93	Facility		$73.08	$120.85	$188.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $65.54 / $100.94	Professional		$51.47	$65.54	$100.94
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 $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.27 / $134.66 / $241.67	Professional		$89.27	$134.66	$241.67