Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.20 / $114.63 / $9,062.00	Facility		$52.20	$114.63	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $52.20 / $85.58	Professional		$34.20	$52.20	$85.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $67.63 / $67.63	Professional		$67.63	$67.63	$67.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $239.61 / $412.24	Facility		$105.88	$239.61	$412.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $65.00 / $105.68	Professional		$39.67	$65.00	$105.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.30 / $64.48 / $134.18	Professional		$43.30	$64.48	$134.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $63.00 / $131.80	Facility		$42.90	$63.00	$131.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $69.42 / $86.59	Professional		$53.47	$69.42	$86.59
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 $49.08 / $61.35 / $99.94	Professional		$49.08	$61.35	$99.94