Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $316.23 / $457.09	Facility		$102.33	$316.23	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $204.17	Professional		$102.33	$125.89	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $64.57	Professional		$60.26	$60.26	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $346.74 / $588.84	Facility		$186.21	$346.74	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $131.83	Professional		$79.43	$93.33	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $512.86 / $616.60	Facility		$109.65	$512.86	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $239.88	Professional		$102.33	$158.49	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $128.82 / $257.04	Facility		$81.28	$128.82	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $87.10 / $114.82	Professional		$46.77	$87.10	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $489.78 / $645.65	Facility		$426.58	$489.78	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $229.09	Professional		$117.49	$147.91	$229.09