Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $122.03 / $16,467.00	Facility		$15.05	$122.03	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $74.17 / $130.76	Professional		$15.05	$74.17	$130.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.91 / $74.91 / $74.91	Professional		$74.91	$74.91	$74.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $147.86 / $330.22	Facility		$79.20	$147.86	$330.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $44.00 / $108.69	Professional		$13.42	$44.00	$108.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $88.09 / $116.06	Professional		$81.06	$88.09	$116.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $83.57 / $134.22	Facility		$15.05	$83.57	$134.22
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 $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 $74.17 / $99.61 / $164.36	Professional		$74.17	$99.61	$164.36