Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.10 / $915.80 / $7,182.00	Facility		$146.10	$915.80	$7,182.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $999.54 / $999.54 / $999.54	Facility	50	$999.54	$999.54	$999.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $82.24 / $190.43	Professional		$42.33	$82.24	$190.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $99.22 / $177.60	Professional		$50.29	$99.22	$177.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.31 / $733.22 / $1,100.23	Facility		$323.31	$733.22	$1,100.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $130.00 / $171.60	Professional		$56.47	$130.00	$171.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.53 / $350.53 / $505.00	Facility		$350.53	$350.53	$505.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.02 / $86.27 / $166.55	Professional		$55.02	$86.27	$166.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.92 / $99.22 / $198.49	Facility		$58.92	$99.22	$198.49
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $128.22 / $138.00 / $351.00	Facility	50	$128.22	$138.00	$351.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $282.00 / $282.00	Professional		$282.00	$282.00	$282.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $422.99 / $422.99 / $422.99	Professional	50	$422.99	$422.99	$422.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.87 / $129.19 / $177.11	Professional		$103.87	$129.19	$177.11
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $118.53 / $199.79	Professional		$77.30	$118.53	$199.79