Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.84 / $201.94 / $9,062.00	Facility		$50.84	$201.94	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $81.62 / $187.85	Professional		$45.42	$81.62	$187.85
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.40 / $36.53 / $58.45	Professional	52	$22.40	$36.53	$58.45
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $8.96 / $14.61 / $23.38	Professional	53	$8.96	$14.61	$23.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.54 / $121.54 / $121.54	Professional		$121.54	$121.54	$121.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.58 / $365.09 / $605.41	Facility		$187.58	$365.09	$605.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $67.90 / $114.55	Professional		$42.79	$67.90	$114.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.97 / $48.97 / $62.93	Facility		$48.97	$48.97	$62.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.86 / $85.87 / $143.94	Professional		$54.86	$85.87	$143.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.84 / $90.00 / $132.02	Facility		$50.84	$90.00	$132.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $47.36 / $66.01	Professional		$43.33	$47.36	$66.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $75.30 / $118.77	Professional		$54.90	$75.30	$118.77
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 $65.08 / $101.08 / $163.01	Professional		$65.08	$101.08	$163.01