Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.49 / $826.35 / $5,866.00	Facility		$184.49	$826.35	$5,866.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $826.36 / $826.36 / $892.50	Facility	50	$826.36	$826.36	$892.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $148.66 / $282.04	Professional		$75.29	$148.66	$282.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.50 / $222.38 / $1,425.45	Professional	50	$118.50	$222.38	$1,425.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $138.78 / $193.70	Professional		$85.28	$138.78	$193.70
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $127.92 / $208.17 / $243.05	Professional	50	$127.92	$208.17	$243.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.38 / $376.04 / $1,047.77	Facility		$125.38	$376.04	$1,047.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $194.01 / $655.74	Professional		$81.41	$194.01	$655.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $141.63	Facility		$100.00	$100.00	$141.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.32 / $197.28 / $330.40	Professional		$88.32	$197.28	$330.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.13 / $205.85 / $591.00	Facility		$95.13	$205.85	$591.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $221.19 / $432.83 / $886.50	Facility	50	$221.19	$432.83	$886.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $148.85 / $228.07	Professional		$109.73	$148.85	$228.07
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 $133.10 / $180.38 / $365.29	Professional		$133.10	$180.38	$365.29