Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.45 / $394.78 / $9,062.00	Facility		$81.45	$394.78	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $79.25 / $165.00	Professional		$51.90	$79.25	$165.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $113.97 / $189.01 / $357.64	Professional	50	$113.97	$189.01	$357.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $109.79 / $136.76	Professional		$72.18	$109.79	$136.76
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $159.56 / $162.97 / $204.01	Professional	50	$159.56	$162.97	$204.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $341.69 / $604.53 / $1,004.92	Facility		$341.69	$604.53	$1,004.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $63.36 / $104.06	Professional		$46.00	$63.36	$104.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.05 / $96.49 / $580.00	Facility		$74.05	$96.49	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $95.19 / $161.19	Professional		$67.72	$95.19	$161.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.17 / $98.45 / $144.52	Facility		$65.17	$98.45	$144.52
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $122.20 / $165.00 / $228.45	Facility	50	$122.20	$165.00	$228.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $72.01 / $72.01	Professional		$72.01	$72.01	$72.01
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $108.02 / $108.02 / $108.02	Professional	50	$108.02	$108.02	$108.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $75.30 / $117.88	Professional		$54.90	$75.30	$117.88
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,244.76 / $3,585.00	Facility		$225.00	$1,244.76	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.89 / $84.20 / $184.77	Professional		$63.89	$84.20	$184.77