Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $457.09 / $25,703.96	Facility		$97.72	$457.09	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $95.50 / $162.18	Professional		$87.10	$95.50	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $95.50	Professional		$93.33	$95.50	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $87.10 / $162.18	Facility		$28.84	$87.10	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $120.23	Professional		$95.50	$104.71	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $93.33 / $93.33	Facility		$89.13	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $107.15 / $263.03	Facility		$48.98	$107.15	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $93.33 / $199.53	Facility		$91.20	$93.33	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $102.33	Professional		$91.20	$93.33	$102.33