Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.15 / $1,097.43 / $29,474.28	Facility		$168.15	$1,097.43	$29,474.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $258.64 / $312.81	Professional		$213.80	$258.64	$312.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $258.52 / $258.52	Professional		$258.52	$258.52	$258.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $153.47 / $272.77	Facility		$74.52	$153.47	$272.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $289.01 / $346.81	Professional		$258.64	$289.01	$346.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $258.64 / $298.72	Facility		$244.00	$258.64	$298.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $268.39	Professional		$258.64	$258.64	$268.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.99 / $213.80 / $360.95	Facility		$98.99	$213.80	$360.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $98.99 / $98.99 / $343.96	Professional		$98.99	$98.99	$343.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $250.91 / $260.53 / $620.02	Professional		$250.91	$260.53	$620.02
United Facility/Professional Professional Modifier Low / Median / High Price $219.84 / $274.16 / $300.02	Professional		$219.84	$274.16	$300.02