Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.43 / $234.03 / $468.06	Facility		$30.43	$234.03	$468.06
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $446.74 / $446.74 / $446.74	Facility	50	$446.74	$446.74	$446.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.68 / $85.69	Professional		$26.92	$45.68	$85.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $211.67 / $211.67 / $211.67	Professional	50	$211.67	$211.67	$211.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $57.18 / $87.00	Professional		$48.60	$57.18	$87.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.63 / $264.57 / $443.28	Facility		$141.63	$264.57	$443.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $42.79 / $73.18	Professional		$25.38	$42.79	$73.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $67.69 / $100.00	Facility		$44.88	$67.69	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $62.50 / $116.06	Professional		$40.14	$62.50	$116.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.33 / $62.54 / $110.69	Facility		$32.33	$62.54	$110.69
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $70.73 / $106.50 / $166.13	Facility	50	$70.73	$106.50	$166.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.28 / $69.28 / $69.28	Professional		$69.28	$69.28	$69.28
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $103.92 / $103.92 / $103.92	Professional	50	$103.92	$103.92	$103.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $74.90 / $117.88	Professional		$54.90	$74.90	$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 $50.02 / $63.45 / $165.42	Professional		$50.02	$63.45	$165.42