Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.34 / $454.75 / $1,250.95	Facility		$101.34	$454.75	$1,250.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $62.67 / $146.65	Professional		$22.14	$62.67	$146.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $59.11 / $107.47	Professional		$50.24	$59.11	$107.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.12 / $330.26 / $578.66	Facility		$134.12	$330.26	$578.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $33.02 / $95.81	Professional		$19.00	$33.02	$95.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $54.23 / $104.84	Professional		$21.18	$54.23	$104.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $63.40 / $111.47	Facility		$34.15	$63.40	$111.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $97.39 / $134.20	Professional		$78.41	$97.39	$134.20
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $82.49 / $94.71	Professional		$61.75	$82.49	$94.71