Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $891.25 / $7,943.28	Facility		$61.66	$891.25	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $602.56 / $602.56 / $602.56	Facility	50	$602.56	$602.56	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $138.04	Professional		$36.31	$63.10	$138.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $144.54 / $288.40	Professional	50	$75.86	$144.54	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $64.57	Professional		$30.90	$51.29	$64.57
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $89.13 / $102.33	Professional	50	$74.13	$89.13	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $562.34 / $1,047.13	Facility		$234.42	$562.34	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $77.62	Professional		$33.11	$53.70	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $63.10 / $575.44	Facility		$46.77	$63.10	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $104.71	Professional		$44.67	$66.07	$104.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $123.03	Professional		$93.33	$93.33	$123.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $63.10 / $109.65	Facility		$38.90	$63.10	$109.65
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 $33.11 / $50.12 / $87.10	Professional		$33.11	$50.12	$87.10