Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $50.18 / $598.08	Facility		$20.41	$50.18	$598.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $27.15 / $50.18	Professional		$17.52	$27.15	$50.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $106.97 / $106.97 / $106.97	Professional	50	$106.97	$106.97	$106.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $26.11 / $36.54	Professional		$12.40	$26.11	$36.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.47 / $276.94 / $443.28	Facility		$145.47	$276.94	$443.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $31.18 / $58.46	Professional		$17.18	$31.18	$58.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.74 / $30.07 / $100.00	Facility		$22.74	$30.07	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $42.06 / $84.63	Professional		$26.40	$42.06	$84.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $38.75 / $59.00	Facility		$22.07	$38.75	$59.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $39.84 / $75.08 / $92.99	Facility	50	$39.84	$75.08	$92.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $21.28 / $21.28	Professional		$21.28	$21.28	$21.28
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $31.92 / $31.92 / $31.92	Professional	50	$31.92	$31.92	$31.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $33.94 / $33.94	Professional		$32.64	$33.94	$33.94
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 $23.39 / $36.63 / $68.16	Professional		$23.39	$36.63	$68.16