Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.06 / $589.33 / $4,751.00	Facility		$66.06	$589.33	$4,751.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $589.33 / $692.14 / $1,032.47	Facility	50	$589.33	$692.14	$1,032.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $58.16 / $140.06	Professional		$36.29	$58.16	$140.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.10 / $114.77 / $307.27	Professional	50	$82.10	$114.77	$307.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $71.13 / $95.73	Professional		$47.86	$71.13	$95.73
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $73.30 / $80.22 / $144.40	Professional	50	$73.30	$80.22	$144.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.86 / $604.53 / $1,006.88	Facility		$319.86	$604.53	$1,006.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $54.00 / $88.15	Professional		$37.79	$54.00	$88.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $66.77 / $580.00	Facility		$47.60	$66.77	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $68.04 / $110.93	Professional		$47.17	$68.04	$110.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.02 / $69.79 / $112.32	Facility		$45.02	$69.79	$112.32
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $80.93 / $116.32 / $196.95	Facility	50	$80.93	$116.32	$196.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $46.38 / $46.38	Professional		$46.38	$46.38	$46.38
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $69.56 / $69.56 / $69.56	Professional	50	$69.56	$69.56	$69.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $74.90 / $117.88	Professional		$54.90	$74.90	$117.88
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 $45.04 / $60.07 / $129.47	Professional		$45.04	$60.07	$129.47