Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $977.24 / $7,943.28	Facility		$69.18	$977.24	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $676.08 / $724.44 / $3,162.28	Facility	50	$676.08	$724.44	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $288.40	Professional		$58.88	$102.33	$288.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $281.84 / $588.84	Professional	50	$89.13	$281.84	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $138.04	Professional		$56.23	$91.20	$138.04
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $147.91 / $234.42	Professional	50	$117.49	$147.91	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $446.68 / $741.31	Facility		$234.42	$446.68	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $120.23 / $251.19	Professional		$51.29	$120.23	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $100.00 / $100.00	Facility		$91.20	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $181.97	Professional		$75.86	$114.82	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $165.96	Facility		$61.66	$100.00	$165.96
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 $52.48 / $87.10 / $147.91	Professional		$52.48	$87.10	$147.91