Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.84 / $563.11 / $4,230.00	Facility		$128.84	$563.11	$4,230.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $414.76 / $414.76 / $414.76	Facility	50	$414.76	$414.76	$414.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $99.78 / $165.63	Professional		$51.13	$99.78	$165.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $85.60 / $100.74	Professional		$51.41	$85.60	$100.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.16 / $589.94 / $1,001.99	Facility		$286.16	$589.94	$1,001.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.21 / $94.08 / $155.27	Professional		$50.21	$94.08	$155.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $127.47 / $580.00	Facility		$87.90	$127.47	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $127.67 / $222.96	Professional		$71.69	$127.67	$222.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.44 / $132.44 / $234.91	Facility		$58.44	$132.44	$234.91
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $106.90 / $235.69 / $386.45	Facility	50	$106.90	$235.69	$386.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $133.13 / $133.13	Professional		$133.13	$133.13	$133.13
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $199.71 / $199.71 / $199.71	Professional	50	$199.71	$199.71	$199.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.07 / $172.70	Professional		$82.31	$112.07	$172.70
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,134.00 / $2,922.00	Facility		$358.00	$1,134.00	$2,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $127.37 / $253.86	Professional		$88.06	$127.37	$253.86