Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $159.25 / $333.83	Facility		$78.15	$159.25	$333.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $159.26 / $335.14 / $566.60	Facility	50	$159.26	$335.14	$566.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $61.94 / $100.77	Professional		$27.10	$61.94	$100.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.12 / $107.06 / $315.23	Professional	50	$79.12	$107.06	$315.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.93 / $66.93 / $66.93	Professional		$66.93	$66.93	$66.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.47 / $257.18 / $438.78	Facility		$119.47	$257.18	$438.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $69.22 / $113.84	Professional		$24.99	$69.22	$113.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $100.00 / $105.77	Facility		$45.65	$100.00	$105.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $84.66 / $154.94	Professional		$32.47	$84.66	$154.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $86.84 / $156.18	Facility		$27.22	$86.84	$156.18
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $72.90 / $165.81 / $234.28	Facility	50	$72.90	$165.81	$234.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $111.32 / $111.32 / $111.32	Professional		$111.32	$111.32	$111.32
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $166.98 / $166.98 / $166.98	Professional	50	$166.98	$166.98	$166.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $111.83 / $172.70	Professional		$82.31	$111.83	$172.70
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,122.00 / $3,585.00	Facility		$225.00	$1,122.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $95.25 / $194.95	Professional		$65.67	$95.25	$194.95