Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.61 / $694.56 / $7,799.00	Facility		$160.61	$694.56	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $127.31 / $198.98	Professional		$85.12	$127.31	$198.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.01 / $117.89 / $194.45	Professional		$101.01	$117.89	$194.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.25 / $760.23 / $1,268.71	Facility		$402.25	$760.23	$1,268.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $122.61 / $197.97	Professional		$98.66	$122.61	$197.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.76 / $123.76 / $123.76	Facility		$123.76	$123.76	$123.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.70 / $143.80 / $281.66	Professional		$103.70	$143.80	$281.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.92 / $146.05 / $244.14	Facility		$103.92	$146.05	$244.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $122.22 / $122.22	Professional		$122.22	$122.22	$122.22
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 $105.10 / $131.19 / $219.56	Professional		$105.10	$131.19	$219.56