Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $2,570.40 / $9,120.11	Facility		$81.28	$2,570.40	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $177.83	Professional		$54.95	$87.10	$177.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $190.55 / $457.09	Professional	50	$114.82	$190.55	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $77.62 / $141.25	Professional		$33.88	$77.62	$141.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $138.04 / $186.21	Professional	50	$91.20	$138.04	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $562.34 / $1,047.13	Facility		$331.13	$562.34	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $102.33	Professional		$46.77	$64.57	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $575.44	Facility		$95.50	$95.50	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $151.36	Professional		$66.07	$95.50	$151.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $186.21	Professional		$125.89	$125.89	$186.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $91.20 / $158.49	Facility		$58.88	$91.20	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,230.27 / $3,548.13	Facility		$354.81	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $123.03	Professional		$50.12	$74.13	$123.03