Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $562.34 / $7,943.28	Facility		$74.13	$562.34	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $354.81	Professional		$54.95	$107.15	$354.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $338.84 / $1,071.52	Professional	50	$128.82	$338.84	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $63.10 / $93.33	Professional		$30.20	$63.10	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $851.14 / $1,621.81	Facility		$446.68	$851.14	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $158.49	Professional		$61.66	$93.33	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $109.65 / $575.44	Facility		$107.15	$109.65	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $223.87	Professional		$75.86	$114.82	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $208.93	Professional		$131.83	$131.83	$208.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $107.15 / $208.93	Facility		$61.66	$107.15	$208.93
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 $46.77 / $81.28 / $151.36	Professional		$46.77	$81.28	$151.36