Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.11 / $620.14 / $9,062.00	Facility		$56.11	$620.14	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $60.01 / $115.61	Professional		$38.46	$60.01	$115.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.88 / $109.88 / $109.88	Professional	50	$109.88	$109.88	$109.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $76.51 / $95.31	Professional		$38.51	$76.51	$95.31
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 $37.61 / $53.21 / $81.64	Professional		$37.61	$53.21	$81.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $65.69 / $580.00	Facility		$47.60	$65.69	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.44 / $71.05 / $115.67	Professional		$50.44	$71.05	$115.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $72.56 / $108.96	Facility		$45.51	$72.56	$108.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Professional		$48.00	$48.00	$48.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $72.00 / $72.00 / $72.00	Professional	50	$72.00	$72.00	$72.00
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 / $1,244.76 / $3,585.00	Facility		$225.00	$1,244.76	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $64.03 / $128.63	Professional		$46.19	$64.03	$128.63