Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $254.41 / $373.98	Facility		$70.00	$254.41	$373.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $45.42 / $46.10	Professional		$39.67	$45.42	$46.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.04 / $91.04 / $91.04	Professional		$91.04	$91.04	$91.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.17 / $172.12 / $314.45	Facility		$77.17	$172.12	$314.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $69.55 / $163.57	Professional		$50.86	$69.55	$163.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.44 / $147.44 / $306.19	Facility		$92.44	$147.44	$306.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $31.82 / $72.79	Professional		$25.80	$31.82	$72.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $45.77 / $94.37	Facility		$33.47	$45.77	$94.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $56.00 / $76.89	Professional		$34.33	$56.00	$76.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $27.97 / $40.28	Professional		$27.97	$27.97	$40.28
United Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $28.26 / $61.03	Professional		$16.87	$28.26	$61.03