Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.96 / $588.10 / $7,796.00	Facility		$114.96	$588.10	$7,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $107.41 / $217.64	Professional		$75.30	$107.41	$217.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $133.13 / $133.13	Professional		$133.13	$133.13	$133.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $468.39 / $876.18 / $1,808.32	Facility		$468.39	$876.18	$1,808.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.64 / $106.00 / $178.05	Professional		$70.64	$106.00	$178.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.61 / $64.61 / $83.03	Facility		$64.61	$64.61	$83.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $142.55 / $237.51	Professional		$92.83	$142.55	$237.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.76 / $141.79 / $206.32	Facility		$80.76	$141.79	$206.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.16 / $58.93 / $84.02	Professional		$57.16	$58.93	$84.02
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 $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 $108.00 / $149.04 / $269.92	Professional		$108.00	$149.04	$269.92