Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $363.08 / $25,703.96	Facility		$89.13	$363.08	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $120.23	Professional		$85.11	$87.10	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $93.33 / $169.82	Facility		$52.48	$93.33	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $112.20	Professional		$87.10	$100.00	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $87.10 / $125.89	Facility		$81.28	$87.10	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $93.33	Professional		$87.10	$87.10	$93.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $95.50 / $154.88	Facility		$87.10	$95.50	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $213.80 / $213.80	Professional		$30.20	$213.80	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $87.10 / $186.21	Facility		$83.18	$87.10	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $97.72	Professional		$74.13	$91.20	$97.72