Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.82 / $85.45 / $209.38	Facility		$61.82	$85.45	$209.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $80.36 / $133.16	Professional		$55.65	$80.36	$133.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.94 / $147.00 / $149.54	Professional	50	$144.94	$147.00	$149.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.38 / $76.38 / $76.38	Professional		$76.38	$76.38	$76.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.74 / $616.46 / $972.30	Facility		$330.74	$616.46	$972.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $85.00 / $155.94	Professional		$53.20	$85.00	$155.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.16 / $92.20 / $100.00	Facility		$76.16	$92.20	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.91 / $101.98 / $162.00	Professional		$72.91	$101.98	$162.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.09 / $103.42 / $148.87	Facility		$64.09	$103.42	$148.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.93 / $70.93 / $70.93	Professional		$70.93	$70.93	$70.93
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $106.39 / $106.39 / $106.39	Professional	50	$106.39	$106.39	$106.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $75.30 / $117.88	Professional		$54.90	$75.30	$117.88
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 $62.65 / $87.71 / $170.79	Professional		$62.65	$87.71	$170.79