Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $419.05 / $9,062.00	Facility		$171.15	$419.05	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $405.89 / $849.85	Professional		$111.40	$405.89	$849.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.81 / $52.81 / $100.33	Professional		$52.81	$52.81	$100.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.16 / $281.97 / $799.33	Professional		$103.16	$281.97	$799.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.11 / $266.02 / $1,051.06	Professional		$134.11	$266.02	$1,051.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $322.00 / $1,240.18	Facility		$143.26	$322.00	$1,240.18
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $301.50 / $483.00 / $1,917.00	Facility	50	$301.50	$483.00	$1,917.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,010.68 / $2,010.68 / $2,010.68	Professional		$2,010.68	$2,010.68	$2,010.68
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $3,016.02 / $3,016.02 / $3,016.02	Professional	50	$3,016.02	$3,016.02	$3,016.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $386.32 / $526.69 / $794.77	Professional		$386.32	$526.69	$794.77
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.51 / $720.66 / $1,352.48	Professional		$488.51	$720.66	$1,352.48