Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $11,220.18 / $19,054.61	Facility		$144.54	$11,220.18	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $165.96	Professional		$134.90	$138.04	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $125.89 / $234.42	Facility		$83.18	$125.89	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $158.49 / $177.83	Professional		$138.04	$158.49	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $138.04 / $186.21	Facility		$128.82	$138.04	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $147.91	Professional		$138.04	$138.04	$147.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $147.91 / $245.47	Facility		$138.04	$147.91	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $331.13 / $331.13	Professional		$30.20	$331.13	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $138.04 / $295.12	Facility		$131.83	$138.04	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $154.88	Professional		$117.49	$144.54	$154.88