Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $512.86 / $6,760.83	Facility		$69.18	$512.86	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $117.49 / $346.74	Professional		$48.98	$117.49	$346.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $169.82 / $575.44	Professional	50	$125.89	$169.82	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $151.36	Professional		$39.81	$57.54	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $208.93	Facility		$104.71	$112.20	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $89.13 / $194.98	Professional		$43.65	$89.13	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $158.49 / $275.42	Professional		$58.88	$158.49	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $147.91 / $309.03	Facility		$51.29	$147.91	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $131.83 / $257.04	Professional		$50.12	$131.83	$257.04