Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $726.63 / $9,062.00	Facility		$38.75	$726.63	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $38.75 / $190.93	Professional		$24.50	$38.75	$190.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $33.13 / $33.85	Professional		$33.13	$33.13	$33.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $686.29 / $1,652.14 / $2,859.97	Facility		$686.29	$1,652.14	$2,859.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $135.00 / $289.11	Professional		$23.98	$135.00	$289.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.84 / $375.00 / $580.00	Facility		$41.84	$375.00	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $122.03 / $311.98	Professional		$38.61	$122.03	$311.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $110.08 / $381.39	Facility		$30.18	$110.08	$381.39
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $52.90 / $363.99 / $591.00	Facility	50	$52.90	$363.99	$591.00
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 $32.34 / $40.43 / $63.07	Professional		$32.34	$40.43	$63.07
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 $28.01 / $85.15 / $319.36	Professional		$28.01	$85.15	$319.36