Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.26 / $825.51 / $4,230.00	Facility		$257.26	$825.51	$4,230.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $510.00 / $692.14 / $2,486.40	Facility	50	$510.00	$692.14	$2,486.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $25.85 / $36.74 / $80.39	Facility	52	$25.85	$36.74	$80.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $65.75 / $154.00	Professional		$43.18	$65.75	$154.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.84 / $92.16 / $320.79	Professional	50	$69.84	$92.16	$320.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $75.14 / $106.86	Professional		$54.55	$75.14	$106.86
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $85.08 / $136.25 / $161.19	Professional	50	$85.08	$136.25	$161.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.22 / $540.78 / $957.89	Facility		$240.22	$540.78	$957.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.08 / $61.65 / $104.96	Professional		$44.08	$61.65	$104.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $77.04 / $580.00	Facility		$55.00	$77.04	$580.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $61.63 / $61.63 / $61.63	Facility	52	$61.63	$61.63	$61.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $79.72 / $127.38	Professional		$55.97	$79.72	$127.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.69 / $83.56 / $128.00	Facility		$51.69	$83.56	$128.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $85.50 / $137.77 / $205.44	Facility	50	$85.50	$137.77	$205.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.09 / $55.09	Professional		$55.09	$55.09	$55.09
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $82.64 / $82.64 / $82.64	Professional	50	$82.64	$82.64	$82.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $75.06 / $117.88	Professional		$54.90	$75.06	$117.88
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,122.00 / $3,585.00	Facility		$225.00	$1,122.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $73.45 / $145.99	Professional		$51.10	$73.45	$145.99
United Facility/Professional Professional Modifier 50 Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	50	$80.00	$80.00	$80.00