Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $47.86 / $128.82	Facility		$29.51	$47.86	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $61.66 / $91.20	Professional		$25.12	$61.66	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $158.49 / $288.40	Facility		$114.82	$158.49	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $120.23	Professional		$25.12	$38.90	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $54.95	Facility		$42.66	$42.66	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $75.86 / $144.54	Professional		$29.51	$75.86	$144.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $61.66 / $131.83	Facility		$26.92	$61.66	$131.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $380.19	Facility		$288.40	$288.40	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $60.26 / $104.71	Professional		$24.55	$60.26	$104.71