Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,069.98 / $5,189.29 / $7,163.16	Facility		$4,069.98	$5,189.29	$7,163.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $41.91 / $3,642.99	Professional		$40.28	$41.91	$3,642.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $49.05 / $51.28	Professional		$41.69	$49.05	$51.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.41 / $115.21 / $174.48	Facility		$48.41	$115.21	$174.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $71.25 / $85.85	Professional		$40.29	$71.25	$85.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $40.29 / $63.75	Facility		$34.63	$40.29	$63.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $40.29	Professional		$40.29	$40.29	$40.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $84.02 / $100.36	Facility		$40.29	$84.02	$100.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $97.51 / $100.36	Professional		$68.78	$97.51	$100.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $47.65 / $107.87	Professional		$40.82	$47.65	$107.87
United Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $42.71 / $47.95	Professional		$34.25	$42.71	$47.95