Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.80 / $450.45 / $7,429.32	Facility		$92.80	$450.45	$7,429.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.94 / $92.63 / $184.55	Professional		$53.94	$92.63	$184.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.29 / $130.29 / $130.29	Professional	50	$130.29	$130.29	$130.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $63.94 / $83.27	Professional		$63.94	$63.94	$83.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $443.45 / $936.54 / $1,648.57	Facility		$443.45	$936.54	$1,648.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $92.80 / $149.41	Professional		$61.47	$92.80	$149.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.31 / $109.26 / $580.00	Facility		$106.31	$109.26	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $122.90 / $241.64	Professional		$80.94	$122.90	$241.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.84 / $120.00 / $224.71	Facility		$74.84	$120.00	$224.71
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $131.04 / $180.00 / $364.82	Facility	50	$131.04	$180.00	$364.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $78.56 / $78.56	Professional		$78.56	$78.56	$78.56
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $117.84 / $117.84 / $117.84	Professional	50	$117.84	$117.84	$117.84
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 $72.75 / $109.11 / $247.40	Professional		$72.75	$109.11	$247.40