Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $3,801.89 / $9,772.37	Facility		$93.33	$3,801.89	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $123.03 / $208.93	Professional		$58.88	$123.03	$208.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $109.65	Professional		$54.95	$60.26	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $870.96 / $1,698.24	Facility		$489.78	$870.96	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $208.93	Professional		$63.10	$123.03	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $371.54 / $575.44	Facility		$109.65	$371.54	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $269.15	Professional		$83.18	$141.25	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $331.13	Professional		$269.15	$269.15	$331.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $147.91 / $288.40	Facility		$69.18	$147.91	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $7,762.47	Facility		$1,096.48	$3,890.45	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $213.80	Professional		$54.95	$112.20	$213.80