Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.61 / $787.08 / $4,230.00	Facility		$61.61	$787.08	$4,230.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $571.55 / $571.55 / $2,277.96	Facility	50	$571.55	$571.55	$2,277.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $86.17 / $169.47	Professional		$43.37	$86.17	$169.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $61.01 / $187.50 / $967.30	Professional	50	$61.01	$187.50	$967.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $42.36 / $68.93	Professional		$35.82	$42.36	$68.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.62 / $978.21 / $1,660.69	Facility		$476.62	$978.21	$1,660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $95.00 / $145.77	Professional		$40.44	$95.00	$145.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.36 / $74.05 / $580.00	Facility		$70.36	$74.05	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $99.47 / $164.04	Professional		$57.59	$99.47	$164.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $97.82 / $165.67	Facility		$50.75	$97.82	$165.67
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $105.44 / $187.16 / $248.51	Facility	50	$105.44	$187.16	$248.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $77.47 / $77.47	Professional		$77.47	$77.47	$77.47
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $116.21 / $116.21 / $116.21	Professional	50	$116.21	$116.21	$116.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $75.30 / $117.88	Professional		$54.90	$75.30	$117.88
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 $62.94 / $88.74 / $185.57	Professional		$62.94	$88.74	$185.57