Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.44 / $608.29 / $5,017.84	Facility		$99.44	$608.29	$5,017.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.21 / $107.35 / $195.36	Professional		$60.21	$107.35	$195.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $70.13 / $91.34	Professional		$60.68	$70.13	$91.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.15 / $962.92 / $1,660.69	Facility		$504.15	$962.92	$1,660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $112.80 / $203.02	Professional		$67.84	$112.80	$203.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.82 / $375.00 / $781.44	Facility		$119.82	$375.00	$781.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.47 / $133.82 / $237.42	Professional		$84.47	$133.82	$237.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $155.93 / $248.30	Facility		$82.58	$155.93	$248.30
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $175.50 / $288.14 / $372.45	Facility	50	$175.50	$288.14	$372.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $671.62 / $671.62 / $671.62	Professional		$671.62	$671.62	$671.62
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,007.42 / $1,007.42 / $1,007.42	Professional	50	$1,007.42	$1,007.42	$1,007.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $150.60 / $235.77	Professional		$109.81	$150.60	$235.77
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.97 / $131.36 / $341.34	Professional		$92.97	$131.36	$341.34