Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.21 / $707.20 / $7,796.00	Facility		$178.21	$707.20	$7,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $152.97 / $317.47	Professional		$111.95	$152.97	$317.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $165.53 / $248.99	Professional		$129.36	$165.53	$248.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.20 / $564.09 / $1,001.99	Facility		$280.20	$564.09	$1,001.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.45 / $153.30 / $274.17	Professional		$118.45	$153.30	$274.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $112.11 / $208.55	Facility		$100.00	$112.11	$208.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $189.86 / $318.43	Professional		$150.30	$189.86	$318.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $142.25 / $180.05 / $295.27	Facility		$142.25	$180.05	$295.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.76 / $116.76	Professional		$116.76	$116.76	$116.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.83 / $167.31 / $271.87	Professional		$117.83	$167.31	$271.87
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 $120.96 / $159.07 / $350.92	Professional		$120.96	$159.07	$350.92