Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $85.11 / $208.93	Facility		$61.66	$85.11	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $151.36	Professional		$52.48	$85.11	$151.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $147.91 / $151.36	Professional	50	$123.03	$147.91	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $141.25	Professional		$64.57	$83.18	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $562.34 / $1,000.00	Facility		$323.59	$562.34	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $131.83	Professional		$52.48	$85.11	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $100.00	Facility		$91.20	$91.20	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $162.18	Professional		$69.18	$100.00	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $173.78	Professional		$147.91	$147.91	$173.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $95.50 / $162.18	Facility		$61.66	$95.50	$162.18
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 $48.98 / $75.86 / $131.83	Professional		$48.98	$75.86	$131.83