Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.47 / $287.43 / $530.27	Facility		$79.47	$287.43	$530.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $62.48 / $120.38	Professional		$38.47	$62.48	$120.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.13 / $118.13 / $118.13	Professional	50	$118.13	$118.13	$118.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $67.09 / $95.23	Professional		$35.04	$67.09	$95.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $85.54 / $85.54 / $85.54	Professional	50	$85.54	$85.54	$85.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $244.46 / $417.58	Facility		$111.15	$244.46	$417.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $48.52 / $78.98	Professional		$37.00	$48.52	$78.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.02 / $68.02 / $100.00	Facility		$68.02	$68.02	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.89 / $75.30 / $118.46	Professional		$47.89	$75.30	$118.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.93 / $76.04 / $117.33	Facility		$45.93	$76.04	$117.33
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $86.11 / $130.01 / $189.79	Facility	50	$86.11	$130.01	$189.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $111.83 / $172.70	Professional		$81.37	$111.83	$172.70
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 $45.98 / $65.68 / $118.64	Professional		$45.98	$65.68	$118.64