Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.44 / $263.86 / $474.08	Facility		$81.44	$263.86	$474.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $67.83 / $116.59	Professional		$45.13	$67.83	$116.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $116.57 / $116.57 / $116.57	Professional	50	$116.57	$116.57	$116.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $83.36 / $122.47	Professional		$50.06	$83.36	$122.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.91 / $244.34 / $427.71	Facility		$111.91	$244.34	$427.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $58.21 / $93.56	Professional		$46.00	$58.21	$93.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $84.93 / $100.00	Facility		$74.56	$84.93	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.14 / $81.83 / $130.57	Professional		$56.14	$81.83	$130.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.33 / $83.13 / $130.68	Facility		$56.33	$83.13	$130.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $67.66 / $67.66	Professional		$67.66	$67.66	$67.66
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $101.48 / $101.48 / $101.48	Professional	50	$101.48	$101.48	$101.48
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 $57.05 / $75.20 / $164.23	Professional		$57.05	$75.20	$164.23