Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $4,897.79 / $16,595.87	Facility		$263.03	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $199.53 / $346.74	Professional		$75.86	$199.53	$346.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $489.78 / $489.78 / $912.01	Professional	50	$489.78	$489.78	$912.01
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $104.71 / $128.82	Professional	50	$104.71	$104.71	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $794.33 / $1,778.28	Facility		$575.44	$794.33	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $239.88 / $354.81	Professional		$74.13	$239.88	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $891.25	Facility		$141.25	$141.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $416.87	Professional		$100.00	$181.97	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $204.17 / $380.19	Facility		$81.28	$204.17	$380.19
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 $70.79 / $169.82 / $316.23	Professional		$70.79	$169.82	$316.23