Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.61 / $6,469.99 / $29,669.96	Facility		$367.61	$6,469.99	$29,669.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,048.64 / $5,048.64 / $5,048.64	Facility	50	$5,048.64	$5,048.64	$5,048.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $167.96 / $581.10	Professional		$126.58	$167.96	$581.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $158.22 / $226.58	Professional		$126.58	$158.22	$226.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $169.00 / $317.35	Professional		$126.58	$169.00	$317.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.52 / $191.61 / $350.07	Professional		$160.52	$191.61	$350.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $135.54 / $176.81 / $305.04	Facility		$135.54	$176.81	$305.04
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $259.47 / $265.22 / $374.18	Facility	50	$259.47	$265.22	$374.18
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $34.60 / $35.36 / $49.89	Facility	80	$34.60	$35.36	$49.89
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $24.22 / $24.75 / $34.92	Facility	AS	$24.22	$24.75	$34.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.90 / $189.80 / $306.04	Professional		$140.90	$189.80	$306.04
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 $131.69 / $191.46 / $359.16	Professional		$131.69	$191.46	$359.16