Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $630.96 / $4,897.79	Facility		$42.66	$630.96	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility	50	$15,135.61	$15,135.61	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $58.88 / $162.18	Professional		$30.20	$58.88	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $29.51 / $38.90	Professional		$24.55	$29.51	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $436.52 / $1,096.48	Facility		$151.36	$436.52	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $81.28 / $169.82	Professional		$28.18	$81.28	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $125.89	Professional		$36.31	$54.95	$125.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $66.07 / $147.91	Facility		$33.11	$66.07	$147.91
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 $33.11 / $58.88 / $109.65	Professional		$33.11	$58.88	$109.65