Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $891.25 / $7,943.28	Facility		$109.65	$891.25	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $831.76 / $891.25 / $1,905.46	Facility	50	$831.76	$891.25	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $158.49 / $426.58	Professional		$77.62	$158.49	$426.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $239.88 / $1,412.54	Professional	50	$120.23	$239.88	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $141.25 / $234.42	Professional		$72.44	$141.25	$234.42
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $199.53 / $346.74	Professional	50	$107.15	$199.53	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $323.59 / $954.99	Facility		$141.25	$323.59	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $177.83 / $602.56	Professional		$75.86	$177.83	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $141.25	Facility		$100.00	$100.00	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $186.21 / $331.13	Professional		$89.13	$186.21	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $389.05	Professional		$331.13	$331.13	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $177.83 / $371.54	Facility		$85.11	$177.83	$371.54
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 / $1,202.26 / $3,548.13	Facility		$354.81	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $269.15	Professional		$69.18	$131.83	$269.15