Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.86 / $696.50 / $7,799.00	Facility		$59.86	$696.50	$7,799.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $696.50 / $696.50 / $696.50	Facility	50	$696.50	$696.50	$696.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $82.15 / $215.49	Professional		$48.48	$82.15	$215.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $281.36 / $527.17	Professional	50	$74.13	$281.36	$527.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $124.99 / $147.05	Professional		$52.12	$124.99	$147.05
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $188.53 / $221.81 / $221.81	Professional	50	$188.53	$221.81	$221.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.49 / $1,096.45 / $1,746.34	Facility		$484.49	$1,096.45	$1,746.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $159.00 / $281.69	Professional		$50.90	$159.00	$281.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.03 / $89.02 / $100.00	Facility		$83.03	$89.02	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $101.23 / $166.29	Professional		$66.56	$101.23	$166.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.86 / $101.76 / $150.66	Facility		$59.86	$101.76	$150.66
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $124.44 / $160.28 / $236.17	Facility	50	$124.44	$160.28	$236.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.48 / $83.48 / $83.48	Professional		$83.48	$83.48	$83.48
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $125.21 / $125.21 / $125.21	Professional	50	$125.21	$125.21	$125.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $111.83 / $172.70	Professional		$82.31	$111.83	$172.70
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $91.43 / $201.37	Professional		$69.30	$91.43	$201.37