Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $4,897.79 / $9,772.37	Facility		$93.33	$4,897.79	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $83.18 / $208.93	Professional		$43.65	$83.18	$208.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $208.93 / $354.81	Professional	50	$151.36	$208.93	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $75.86 / $134.90	Professional		$38.02	$75.86	$134.90
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $109.65 / $134.90	Professional	50	$109.65	$109.65	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $446.68 / $741.31	Facility		$234.42	$446.68	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $93.33 / $229.09	Professional		$40.74	$93.33	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $100.00	Facility		$79.43	$79.43	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $147.91	Professional		$57.54	$91.20	$147.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $81.28 / $134.90	Facility		$46.77	$81.28	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,230.27 / $3,548.13	Facility		$354.81	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.18 / $117.49	Professional		$40.74	$69.18	$117.49