Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.31 / $889.13 / $7,796.00	Facility		$60.31	$889.13	$7,796.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $210.38 / $210.38 / $210.38	Facility	50	$210.38	$210.38	$210.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $53.14 / $112.48	Professional		$35.03	$53.14	$112.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $76.90 / $100.88 / $344.25	Professional	50	$76.90	$100.88	$344.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $59.45 / $88.52	Professional		$42.03	$59.45	$88.52
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $79.73 / $81.59 / $132.77	Professional	50	$79.73	$81.59	$132.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.87 / $638.20 / $1,012.83	Facility		$327.87	$638.20	$1,012.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $49.45 / $80.40	Professional		$34.86	$49.45	$80.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.53 / $60.85 / $580.00	Facility		$46.53	$60.85	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $62.90 / $99.92	Professional		$45.19	$62.90	$99.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $65.20 / $100.58	Facility		$40.74	$65.20	$100.58
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $76.39 / $113.09 / $150.93	Facility	50	$76.39	$113.09	$150.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $44.75 / $44.75	Professional		$44.75	$44.75	$44.75
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $67.12 / $67.12 / $67.12	Professional	50	$67.12	$67.12	$67.12
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 $41.58 / $55.86 / $119.94	Professional		$41.58	$55.86	$119.94