Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.34 / $302.32 / $9,062.00	Facility		$72.34	$302.32	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $116.81 / $188.40	Professional		$60.06	$116.81	$188.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.01 / $120.01 / $130.54	Professional		$120.01	$120.01	$130.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.24 / $1,057.05 / $1,768.21	Facility		$504.24	$1,057.05	$1,768.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.21 / $175.57 / $325.43	Professional		$60.21	$175.57	$325.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.08 / $105.08 / $890.00	Facility		$105.08	$105.08	$890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.98 / $142.41 / $256.08	Professional		$85.98	$142.41	$256.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.34 / $155.97 / $261.29	Facility		$72.34	$155.97	$261.29
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $164.11 / $307.70 / $422.04	Facility	50	$164.11	$307.70	$422.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $148.85 / $228.07	Professional		$109.73	$148.85	$228.07
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 $91.20 / $130.28 / $247.15	Professional		$91.20	$130.28	$247.15