Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $731.50 / $5,621.00	Facility		$113.46	$731.50	$5,621.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $677.26 / $678.65 / $3,189.34	Facility	50	$677.26	$678.65	$3,189.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $94.55 / $247.00	Professional		$58.09	$94.55	$247.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $84.00 / $284.85 / $712.30	Professional	50	$84.00	$284.85	$712.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.79 / $129.57 / $162.19	Professional		$82.79	$129.57	$162.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $124.19 / $149.51 / $243.29	Professional	50	$124.19	$149.51	$243.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.40 / $451.25 / $718.73	Facility		$199.40	$451.25	$718.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $164.00 / $290.55	Professional		$57.61	$164.00	$290.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.97 / $100.00 / $100.78	Facility		$90.97	$100.00	$100.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.79 / $116.15 / $188.17	Professional		$76.79	$116.15	$188.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.79 / $116.94 / $170.66	Facility		$68.79	$116.94	$170.66
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $138.99 / $184.17 / $263.79	Facility	50	$138.99	$184.17	$263.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.31 / $93.31 / $93.31	Professional		$93.31	$93.31	$93.31
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $139.97 / $139.97 / $139.97	Professional	50	$139.97	$139.97	$139.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.07 / $172.70	Professional		$82.31	$112.07	$172.70
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 $77.38 / $100.58 / $222.22	Professional		$77.38	$100.58	$222.22