Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $4,897.79 / $9,772.37	Facility		$181.97	$4,897.79	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $724.44 / $794.33 / $794.33	Facility	50	$724.44	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $147.91 / $436.52	Professional		$63.10	$147.91	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $109.65	Professional		$87.10	$87.10	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $741.31 / $870.96	Facility		$676.08	$741.31	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $79.43 / $331.13	Professional		$38.02	$79.43	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $165.96 / $457.09	Professional		$70.79	$165.96	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $173.78 / $537.03	Facility		$67.61	$173.78	$537.03
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 $1,122.02 / $3,890.45 / $7,762.47	Facility		$1,122.02	$3,890.45	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $158.49 / $363.08	Professional		$64.57	$158.49	$363.08