Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.57 / $4,230.00 / $9,870.00	Facility		$46.57	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $74.40 / $209.40	Professional		$36.64	$74.40	$209.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.94 / $153.94 / $153.94	Professional		$153.94	$153.94	$153.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $60.00 / $200.14	Professional		$38.79	$60.00	$200.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $160.88 / $286.94	Professional		$49.30	$160.88	$286.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.57 / $188.61 / $310.20	Facility		$46.57	$188.61	$310.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $633.22 / $633.22 / $633.22	Professional		$633.22	$633.22	$633.22
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $949.83 / $949.83 / $949.83	Professional	50	$949.83	$949.83	$949.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $175.91 / $265.23	Professional		$129.44	$175.91	$265.23
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 $134.72 / $194.00 / $367.31	Professional		$134.72	$194.00	$367.31