Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $977.24 / $9,120.11	Facility		$102.33	$977.24	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $131.83 / $257.04	Professional		$61.66	$131.83	$257.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $398.11 / $1,230.27 / $1,230.27	Professional	50	$398.11	$1,230.27	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $75.86	Professional		$60.26	$64.57	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,122.02 / $2,290.87	Facility		$630.96	$1,122.02	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $199.53	Professional		$66.07	$117.49	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $165.96 / $575.44	Facility		$123.03	$165.96	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $275.42	Professional		$83.18	$154.88	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $302.00	Professional		$251.19	$251.19	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $147.91 / $281.84	Facility		$69.18	$147.91	$281.84
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 $50.12 / $112.20 / $208.93	Professional		$50.12	$112.20	$208.93