Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $4,897.79 / $16,595.87	Facility		$104.71	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $120.23 / $257.04	Professional		$40.74	$120.23	$257.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $229.09 / $302.00	Professional	50	$194.98	$229.09	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $109.65 / $120.23	Professional		$34.67	$109.65	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $208.93 / $363.08	Facility		$112.20	$208.93	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $91.20 / $158.49	Professional		$34.67	$91.20	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $218.78	Professional		$54.95	$114.82	$218.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $125.89 / $239.88	Facility		$51.29	$125.89	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,230.27 / $3,548.13	Facility		$380.19	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $114.82 / $239.88	Professional		$43.65	$114.82	$239.88