Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $4,897.79 / $16,595.87	Facility		$158.49	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $223.87	Professional		$74.13	$125.89	$223.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $346.74 / $645.65	Professional	50	$158.49	$346.74	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $977.24 / $1,778.28	Facility		$588.84	$977.24	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $177.83	Professional		$74.13	$120.23	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $602.56	Facility		$100.00	$134.90	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $275.42	Professional		$102.33	$177.83	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $138.04 / $251.19	Facility		$81.28	$138.04	$251.19
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 $67.61 / $125.89 / $229.09	Professional		$67.61	$125.89	$229.09