Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.64 / $986.85 / $9,062.00	Facility		$113.64	$986.85	$9,062.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $720.30 / $720.30 / $720.30	Facility	50	$720.30	$720.30	$720.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.83 / $95.41 / $153.25	Professional		$57.83	$95.41	$153.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $96.52 / $98.21	Professional		$58.74	$96.52	$98.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.19 / $962.92 / $1,676.71	Facility		$411.19	$962.92	$1,676.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $96.00 / $170.76	Professional		$57.37	$96.00	$170.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.02 / $375.00 / $607.82	Facility		$100.02	$375.00	$607.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $136.18 / $240.44	Professional		$75.16	$136.18	$240.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $136.37 / $263.00	Facility		$68.98	$136.37	$263.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $135.81 / $289.32 / $428.07	Facility	50	$135.81	$289.32	$428.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $518.09 / $518.09 / $518.09	Professional		$518.09	$518.09	$518.09
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $777.13 / $777.13 / $777.13	Professional	50	$777.13	$777.13	$777.13
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 $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 $81.42 / $123.32 / $249.70	Professional		$81.42	$123.32	$249.70