Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.16 / $670.21 / $7,799.00	Facility		$192.16	$670.21	$7,799.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,660.28 / $1,660.28 / $1,660.28	Facility	50	$1,660.28	$1,660.28	$1,660.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $164.75 / $396.47	Professional		$62.23	$164.75	$396.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $91.51 / $216.11	Professional		$63.11	$91.51	$216.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.81 / $78.81 / $125.89	Facility		$78.81	$78.81	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $128.80 / $259.00	Professional		$66.27	$128.80	$259.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $194.10 / $463.73	Professional		$82.80	$194.10	$463.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $264.86 / $740.00	Facility		$79.06	$264.86	$740.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $195.00 / $672.98 / $1,287.00	Facility	50	$195.00	$672.98	$1,287.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $864.69 / $864.69 / $864.69	Professional		$864.69	$864.69	$864.69
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,297.03 / $1,297.03 / $1,297.03	Professional	50	$1,297.03	$1,297.03	$1,297.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.79 / $210.50 / $315.28	Professional		$154.79	$210.50	$315.28
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.61 / $276.01 / $597.29	Professional		$186.61	$276.01	$597.29