Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $794.33 / $4,897.79	Facility		$53.70	$794.33	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $575.44 / $575.44 / $2,290.87	Facility	50	$575.44	$575.44	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $89.13 / $239.88	Professional		$40.74	$89.13	$239.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $61.66 / $181.97 / $851.14	Professional	50	$61.66	$181.97	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $67.61	Professional		$33.88	$40.74	$67.61
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $30.90 / $50.12 / $169.82	Professional	50	$30.90	$50.12	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $891.25 / $1,659.59	Facility		$478.63	$891.25	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $89.13 / $134.90	Professional		$39.81	$89.13	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $74.13 / $575.44	Facility		$70.79	$74.13	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $165.96	Professional		$53.70	$97.72	$165.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $181.97	Professional		$162.18	$162.18	$181.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $91.20 / $173.78	Facility		$47.86	$91.20	$173.78
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 $38.90 / $74.13 / $138.04	Professional		$38.90	$74.13	$138.04