Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.51 / $606.36 / $9,727.00	Facility		$64.51	$606.36	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $112.17 / $212.72	Professional		$53.82	$112.17	$212.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.08 / $108.08 / $108.08	Professional		$108.08	$108.08	$108.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $413.84 / $959.36 / $1,660.69	Facility		$413.84	$959.36	$1,660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.17 / $124.00 / $220.56	Professional		$53.17	$124.00	$220.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $115.30 / $580.00	Facility		$92.61	$115.30	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $148.62 / $227.26	Professional		$84.81	$148.62	$227.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.54 / $154.16 / $249.55	Facility		$68.54	$154.16	$249.55
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $146.34 / $289.38 / $384.69	Facility	50	$146.34	$289.38	$384.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $121.68 / $121.68	Professional		$121.68	$121.68	$121.68
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $182.52 / $182.52 / $182.52	Professional	50	$182.52	$182.52	$182.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.07 / $172.70	Professional		$82.31	$112.07	$172.70
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $137.30 / $264.14	Professional		$92.10	$137.30	$264.14