Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $1,068.45 / $9,062.00	Facility		$99.00	$1,068.45	$9,062.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.80 / $44.33 / $100.75	Facility	53	$19.80	$44.33	$100.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.03 / $150.52 / $244.38	Professional		$78.03	$150.52	$244.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $137.44 / $137.44	Professional		$65.26	$137.44	$137.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $111.25 / $207.69	Facility		$74.98	$111.25	$207.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $187.00 / $317.60	Professional		$80.62	$187.00	$317.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.93 / $208.93 / $378.88	Professional		$102.93	$208.93	$378.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $261.86 / $416.00	Facility		$99.00	$261.86	$416.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $700.64 / $700.64 / $700.64	Professional		$700.64	$700.64	$700.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.93 / $212.18 / $321.25	Professional		$156.93	$212.18	$321.25
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.55 / $256.58 / $467.10	Professional		$186.55	$256.58	$467.10