Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.88 / $348.99 / $3,776.00	Facility		$152.88	$348.99	$3,776.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $242.90 / $242.90 / $335.24	Facility	50	$242.90	$242.90	$335.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $131.47 / $305.77	Professional		$55.66	$131.47	$305.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.77 / $509.19 / $650.00	Professional	50	$220.77	$509.19	$650.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $93.89 / $161.52	Professional		$73.43	$93.89	$161.52
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $205.93 / $205.93 / $205.93	Professional	50	$205.93	$205.93	$205.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.22 / $263.50 / $456.61	Facility		$113.22	$263.50	$456.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $112.51 / $174.06	Professional		$52.71	$112.51	$174.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $117.66 / $300.18	Professional		$68.45	$117.66	$300.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.61 / $129.77 / $270.52	Facility		$68.61	$129.77	$270.52
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $151.91 / $222.00 / $405.79	Facility	50	$151.91	$222.00	$405.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $48.04 / $48.04	Professional		$48.04	$48.04	$48.04
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $72.06 / $72.06 / $72.06	Professional	50	$72.06	$72.06	$72.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $149.65 / $230.16	Professional		$109.73	$149.65	$230.16
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 $110.35 / $156.02 / $392.33	Professional		$110.35	$156.02	$392.33