Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $7,585.78 / $16,595.87	Facility		$151.36	$7,585.78	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $218.78	Professional		$83.18	$120.23	$218.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $112.20 / $218.78	Professional	50	$112.20	$112.20	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $147.91	Professional		$114.82	$114.82	$147.91
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $162.18 / $162.18	Professional	50	$162.18	$162.18	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,047.13 / $1,905.46	Facility		$467.74	$1,047.13	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $173.78	Professional		$77.62	$117.49	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $239.88	Professional		$95.50	$151.36	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $141.25 / $257.04	Facility		$89.13	$141.25	$257.04
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 $83.18 / $120.23 / $218.78	Professional		$83.18	$120.23	$218.78