Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $288.40 / $354.81	Facility		$46.77	$288.40	$354.81
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	50	$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $56.23 / $100.00	Professional		$25.70	$56.23	$100.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.48 / $102.33 / $234.42	Professional	50	$52.48	$102.33	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $57.54 / $81.28	Professional		$53.70	$57.54	$81.28
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $33.88 / $83.18 / $97.72	Professional	50	$33.88	$83.18	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $257.04 / $457.09	Facility		$112.20	$257.04	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $41.69 / $74.13	Professional		$23.99	$41.69	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $67.61 / $100.00	Facility		$44.67	$67.61	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $109.65	Professional		$37.15	$60.26	$109.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $147.91	Professional		$79.43	$79.43	$147.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $61.66 / $114.82	Facility		$30.90	$61.66	$114.82
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 / $1,174.90 / $3,548.13	Facility		$354.81	$1,174.90	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $50.12 / $83.18	Professional		$24.55	$50.12	$83.18