Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.85 / $692.14 / $4,862.00	Facility		$62.85	$692.14	$4,862.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $602.00 / $602.00 / $602.00	Facility	50	$602.00	$602.00	$602.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $53.38 / $101.49	Professional		$35.72	$53.38	$101.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.79 / $120.94 / $290.70	Professional	50	$39.79	$120.94	$290.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $61.13 / $90.20	Professional		$47.87	$61.13	$90.20
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $75.48 / $83.14 / $83.14	Professional	50	$75.48	$83.14	$83.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.37 / $589.94 / $980.74	Facility		$272.37	$589.94	$980.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $52.20 / $85.00	Professional		$35.86	$52.20	$85.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.07 / $62.56 / $580.00	Facility		$47.07	$62.56	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.57 / $66.67 / $105.03	Professional		$46.57	$66.67	$105.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $70.08 / $106.06	Facility		$43.28	$70.08	$106.06
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $79.76 / $120.84 / $171.74	Facility	50	$79.76	$120.84	$171.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $46.38 / $46.38	Professional		$46.38	$46.38	$46.38
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $69.56 / $69.56 / $69.56	Professional	50	$69.56	$69.56	$69.56
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 $43.02 / $61.84 / $124.18	Professional		$43.02	$61.84	$124.18