Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.99 / $465.50 / $7,799.00	Facility		$86.99	$465.50	$7,799.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $616.00 / $616.00 / $616.00	Facility	50	$616.00	$616.00	$616.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $82.79 / $140.05	Professional		$54.59	$82.79	$140.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $103.50 / $168.91 / $411.62	Professional	50	$103.50	$168.91	$411.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $87.57 / $87.57	Professional		$71.56	$87.57	$87.57
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $111.26 / $185.27 / $185.27	Professional	50	$111.26	$185.27	$185.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $469.39 / $978.21 / $1,648.57	Facility		$469.39	$978.21	$1,648.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.37 / $104.00 / $188.68	Professional		$51.37	$104.00	$188.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $90.34 / $580.00	Facility		$58.70	$90.34	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $113.52 / $171.02	Professional		$71.41	$113.52	$171.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.70 / $108.34 / $180.72	Facility		$63.70	$108.34	$180.72
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $112.75 / $200.51 / $289.50	Facility	50	$112.75	$200.51	$289.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $59.47 / $59.47	Professional		$59.47	$59.47	$59.47
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $89.20 / $89.20 / $89.20	Professional	50	$89.20	$89.20	$89.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $75.30 / $117.88	Professional		$54.90	$75.30	$117.88
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 $59.77 / $98.48 / $170.32	Professional		$59.77	$98.48	$170.32