Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.69 / $135.69 / $138.00	Facility		$135.69	$135.69	$138.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.16 / $135.15 / $204.63	Professional		$120.16	$135.15	$204.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.90 / $221.30 / $222.53	Professional		$116.90	$221.30	$222.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,577.48 / $2,867.21 / $4,635.57	Facility		$1,577.48	$2,867.21	$4,635.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.69 / $158.00 / $259.04	Professional		$125.69	$158.00	$259.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.88 / $166.34 / $260.52	Professional		$139.88	$166.34	$260.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.21 / $159.88 / $277.95	Facility		$131.21	$159.88	$277.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $151.80 / $227.82	Professional		$112.96	$151.80	$227.82
United Facility/Professional Professional Modifier Low / Median / High Price $125.05 / $151.74 / $258.70	Professional		$125.05	$151.74	$258.70