Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $972.65 / $7,799.00	Facility		$86.38	$972.65	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $118.82 / $200.79	Professional		$54.96	$118.82	$200.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $382.73 / $382.73 / $382.73	Professional	50	$382.73	$382.73	$382.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $72.23 / $72.23	Professional		$62.50	$72.23	$72.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.27 / $1,258.66 / $2,569.17	Facility		$635.27	$1,258.66	$2,569.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.54 / $126.00 / $197.71	Professional		$67.54	$126.00	$197.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.26 / $165.53 / $580.00	Facility		$123.26	$165.53	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $155.79 / $278.10	Professional		$85.01	$155.79	$278.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $163.02 / $281.61	Facility		$81.31	$163.02	$281.61
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $158.02 / $341.48 / $422.42	Facility	50	$158.02	$341.48	$422.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $145.13 / $145.13	Professional		$145.13	$145.13	$145.13
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $217.69 / $217.69 / $217.69	Professional	50	$217.69	$217.69	$217.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $148.85 / $228.07	Professional		$109.73	$148.85	$228.07
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 $103.07 / $143.15 / $265.17	Professional		$103.07	$143.15	$265.17