Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $663.25 / $9,062.00	Facility		$52.93	$663.25	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $72.05 / $143.88	Professional		$41.88	$72.05	$143.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.70 / $165.70 / $182.30	Professional	50	$165.70	$165.70	$182.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.66 / $98.75 / $116.22	Professional		$81.66	$98.75	$116.22
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $205.09 / $205.09 / $205.09	Professional	50	$205.09	$205.09	$205.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.40 / $451.25 / $718.73	Facility		$199.40	$451.25	$718.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $154.00 / $270.77	Professional		$45.34	$154.00	$270.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.81 / $79.31 / $100.00	Facility		$78.81	$79.31	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $91.72 / $149.97	Professional		$58.29	$91.72	$149.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $93.54 / $136.38	Facility		$52.93	$93.54	$136.38
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $114.59 / $144.78 / $217.48	Facility	50	$114.59	$144.78	$217.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $78.56 / $78.56	Professional		$78.56	$78.56	$78.56
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $117.84 / $117.84 / $117.84	Professional	50	$117.84	$117.84	$117.84
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 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $78.59 / $181.04	Professional		$62.65	$78.59	$181.04