Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $3,776.00 / $9,727.00	Facility		$39.96	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $48.81 / $89.80	Professional		$32.10	$48.81	$89.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $107.18 / $113.01 / $114.36	Professional	50	$107.18	$113.01	$114.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $49.41 / $82.73	Professional		$21.37	$49.41	$82.73
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $68.94 / $68.94 / $68.94	Professional	50	$68.94	$68.94	$68.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $324.79 / $599.80 / $1,004.92	Facility		$324.79	$599.80	$1,004.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $57.00 / $86.82	Professional		$32.75	$57.00	$86.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.49 / $57.28 / $100.00	Facility		$36.49	$57.28	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $63.81 / $96.09	Professional		$46.62	$63.81	$96.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $63.60 / $96.30	Facility		$39.96	$63.60	$96.30
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $73.09 / $95.54 / $149.97	Facility	50	$73.09	$95.54	$149.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $35.46 / $35.46	Professional		$35.46	$35.46	$35.46
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $53.18 / $53.18 / $53.18	Professional	50	$53.18	$53.18	$53.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $74.90 / $117.88	Professional		$54.90	$74.90	$117.88
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $55.22 / $117.75	Professional		$39.84	$55.22	$117.75