Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.11 / $3,776.00 / $9,727.00	Facility		$104.11	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $194.73 / $296.24	Professional		$73.65	$194.73	$296.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $292.10 / $452.07 / $706.87	Professional	50	$292.10	$452.07	$706.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.83 / $191.83 / $319.43	Professional		$191.83	$191.83	$319.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.40 / $244.24 / $436.66	Facility		$114.40	$244.24	$436.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $128.88 / $216.82	Professional		$72.64	$128.88	$216.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.38 / $170.38 / $218.95	Facility		$170.38	$170.38	$218.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $192.13 / $367.70	Professional		$100.52	$192.13	$367.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.06 / $194.73 / $376.85	Facility		$96.06	$194.73	$376.85
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $161.55 / $388.13 / $522.23	Facility	50	$161.55	$388.13	$522.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $150.74 / $229.18	Professional		$65.80	$150.74	$229.18
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $98.70 / $98.70 / $343.77	Professional	50	$98.70	$98.70	$343.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.94 / $224.35 / $335.62	Professional		$178.94	$224.35	$335.62
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 $166.62 / $255.51 / $458.55	Professional		$166.62	$255.51	$458.55