Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $6,456.54 / $22,908.68	Facility		$199.53	$6,456.54	$22,908.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility	50	$5,011.87	$5,011.87	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $676.08	Professional		$123.03	$194.98	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $218.78	Professional		$120.23	$144.54	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $223.87	Professional		$123.03	$151.36	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $309.03	Professional		$158.49	$186.21	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $181.97 / $309.03	Facility		$131.83	$181.97	$309.03
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 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $281.84	Professional		$125.89	$162.18	$281.84