Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.26 / $772.60 / $4,862.00	Facility		$309.26	$772.60	$4,862.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $826.23 / $826.23 / $826.23	Facility	50	$826.23	$826.23	$826.23
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $66.04 / $154.63 / $386.30	Facility	52	$66.04	$154.63	$386.30
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $26.41 / $61.85 / $154.52	Facility	53	$26.41	$61.85	$154.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.99 / $277.14 / $665.51	Professional		$107.99	$277.14	$665.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.74 / $179.95 / $180.95	Professional		$140.74	$179.95	$180.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.97 / $1,165.18 / $2,119.98	Facility		$600.97	$1,165.18	$2,119.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.53 / $226.80 / $437.05	Professional		$100.53	$226.80	$437.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.82 / $422.82 / $543.34	Facility		$422.82	$422.82	$543.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $281.22 / $827.40	Professional		$146.88	$281.22	$827.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $375.54 / $836.89	Facility		$127.25	$375.54	$836.89
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $292.45 / $1,147.13 / $1,279.70	Facility	50	$292.45	$1,147.13	$1,279.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $253.68 / $374.09 / $441.00	Professional		$253.68	$374.09	$441.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $246.87 / $336.69 / $516.02	Professional		$246.87	$336.69	$516.02
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.44 / $424.42 / $1,166.27	Professional		$284.44	$424.42	$1,166.27