Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $186.21 / $478.63	Facility		$85.11	$186.21	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $467.74	Professional		$100.00	$162.18	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $389.05	Professional		$131.83	$177.83	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $61.66 / $338.84	Facility		$48.98	$61.66	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $165.96 / $269.15	Professional		$50.12	$165.96	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $371.54	Facility		$131.83	$131.83	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $269.15	Professional		$95.50	$95.50	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $154.88	Professional		$117.49	$117.49	$154.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $169.82 / $371.54	Facility		$112.20	$169.82	$371.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $67.61	Professional		$66.07	$66.07	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $158.49	Professional		$30.20	$30.20	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $131.83 / $281.84	Facility		$0.17	$131.83	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $147.91	Professional		$87.10	$117.49	$147.91