Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.93 / $280.62 / $16,467.00	Facility		$125.93	$280.62	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $122.35 / $163.68	Professional		$84.42	$122.35	$163.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $196.28 / $196.28 / $196.28	Professional	50	$196.28	$196.28	$196.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.36 / $105.36 / $105.36	Professional		$105.36	$105.36	$105.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.94 / $258.57 / $420.13	Facility		$125.94	$258.57	$420.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $105.36 / $161.49	Professional		$74.00	$105.36	$161.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $139.69 / $265.00	Professional		$98.09	$139.69	$265.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.83 / $143.40 / $277.82	Facility		$103.83	$143.40	$277.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $103.50 / $131.85	Professional		$79.45	$103.50	$131.85
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 $94.70 / $118.37 / $201.23	Professional		$94.70	$118.37	$201.23