Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $436.52 / $9,120.11	Facility		$109.65	$436.52	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $190.55	Professional		$104.71	$104.71	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $501.19 / $1,047.13	Facility		$204.17	$501.19	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $257.04	Professional		$72.44	$100.00	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $104.71 / $190.55	Facility		$97.72	$104.71	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $112.20	Professional		$104.71	$104.71	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $131.83 / $575.44	Facility		$104.71	$131.83	$575.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $263.03 / $269.15	Professional		$30.20	$263.03	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $151.36 / $223.87	Facility		$104.71	$151.36	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $158.49	Professional		$93.33	$109.65	$158.49