Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.29 / $538.04 / $9,062.00	Facility		$54.29	$538.04	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $91.14 / $151.58	Professional		$41.75	$91.14	$151.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.95 / $46.95 / $77.59	Professional		$46.95	$46.95	$77.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.43 / $667.68 / $1,045.57	Facility		$340.43	$667.68	$1,045.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $100.41 / $178.61	Professional		$44.81	$100.41	$178.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $92.56 / $100.00	Facility		$78.31	$92.56	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $130.51 / $213.57	Professional		$61.52	$130.51	$213.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.29 / $110.07 / $221.62	Facility		$54.29	$110.07	$221.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $97.13 / $97.13	Professional		$97.13	$97.13	$97.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $111.83 / $172.70	Professional		$82.31	$111.83	$172.70
United Facility/Professional Facility Modifier Low / Median / High Price $220.74 / $1,078.00 / $3,585.00	Facility		$220.74	$1,078.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.75 / $133.25 / $239.52	Professional		$83.75	$133.25	$239.52