Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $4,265.80 / $9,772.37	Facility		$181.97	$4,265.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $239.88	Professional		$57.54	$95.50	$239.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $389.05 / $416.87	Professional	50	$371.54	$389.05	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $489.78	Professional		$109.65	$109.65	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $851.14 / $1,621.81	Facility		$398.11	$851.14	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $158.49	Professional		$53.70	$102.33	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $371.54 / $602.56	Facility		$100.00	$371.54	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $239.88	Professional		$75.86	$134.90	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $295.12	Professional		$234.42	$234.42	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $114.82 / $245.47	Facility		$61.66	$114.82	$245.47
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 $52.48 / $93.33 / $218.78	Professional		$52.48	$93.33	$218.78