Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.89 / $426.70 / $9,835.35	Facility		$62.89	$426.70	$9,835.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $65.48 / $109.74	Professional		$47.64	$65.48	$109.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.90 / $63.14 / $101.35	Professional		$61.90	$63.14	$101.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.94 / $250.91 / $415.95	Facility		$121.94	$250.91	$415.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.25 / $78.00 / $125.00	Professional		$48.25	$78.00	$125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $77.04 / $159.59	Professional		$54.94	$77.04	$159.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.59 / $75.90 / $130.00	Facility		$51.59	$75.90	$130.00
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 $58.81 / $70.95 / $115.86	Professional		$58.81	$70.95	$115.86