Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $158.49 / $446.68	Facility		$109.65	$158.49	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $302.00	Professional		$104.71	$131.83	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $199.53	Professional		$104.71	$112.20	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $489.78 / $912.01	Facility		$87.10	$489.78	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $181.97	Professional		$109.65	$162.18	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $104.71 / $104.71	Facility		$100.00	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $147.91 / $436.52	Facility		$109.65	$147.91	$436.52
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 $104.71 / $128.82 / $229.09	Facility		$104.71	$128.82	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $128.82	Professional		$104.71	$104.71	$128.82