Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $316.23 / $11,748.98	Facility		$77.62	$316.23	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $109.65	Professional		$74.13	$75.86	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $107.15 / $199.53	Facility		$39.81	$107.15	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $112.20	Professional		$74.13	$95.50	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $74.13 / $114.82	Facility		$70.79	$74.13	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $81.28	Professional		$74.13	$74.13	$81.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $141.25	Facility		$74.13	$87.10	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $186.21 / $186.21	Professional		$30.20	$186.21	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $75.86 / $162.18	Facility		$74.13	$75.86	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $83.18	Professional		$64.57	$79.43	$83.18