Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.38 / $14,486.54 / $38,547.06	Facility		$89.38	$14,486.54	$38,547.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.96 / $107.25	Professional		$85.12	$85.96	$107.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $83.87 / $85.25	Professional		$83.87	$83.87	$85.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.64 / $92.96 / $157.13	Facility		$53.64	$92.96	$157.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $97.92 / $117.50	Professional		$85.12	$97.92	$117.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.30 / $85.12 / $100.66	Facility		$80.30	$85.12	$100.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $88.33	Professional		$85.12	$85.12	$88.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.11 / $85.12 / $144.86	Facility		$81.11	$85.12	$144.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.11 / $81.11 / $134.51	Professional		$81.11	$81.11	$134.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $89.51 / $212.80	Professional		$88.06	$89.51	$212.80
United Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $90.23 / $111.82	Professional		$72.34	$90.23	$111.82