Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.11 / $116.11 / $116.11	Facility		$116.11	$116.11	$116.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $112.33 / $122.00	Professional		$73.42	$112.33	$122.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.27 / $94.27 / $111.37	Professional		$94.27	$94.27	$111.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.61 / $123.01 / $208.46	Facility		$66.61	$123.01	$208.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $43.35 / $122.34	Professional		$25.00	$43.35	$122.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.63 / $53.63 / $53.63	Facility		$53.63	$53.63	$53.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $84.07 / $153.76	Professional		$41.15	$84.07	$153.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $89.16 / $133.53	Facility		$30.00	$89.16	$133.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $96.74 / $131.09	Professional		$76.37	$96.74	$131.09
United Facility/Professional Facility Modifier Low / Median / High Price $250.45 / $289.08 / $381.01	Facility		$250.45	$289.08	$381.01
United Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $100.61 / $158.60	Professional		$59.25	$100.61	$158.60