Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.06 / $3,776.00 / $9,727.00	Facility		$93.06	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $125.94 / $203.68	Professional		$77.58	$125.94	$203.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.88 / $158.88 / $158.88	Professional	50	$158.88	$158.88	$158.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $78.09 / $78.09	Professional		$78.09	$78.09	$78.09
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $117.15 / $117.15 / $117.15	Professional	50	$117.15	$117.15	$117.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.49 / $1,030.48 / $1,729.83	Facility		$484.49	$1,030.48	$1,729.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $119.32 / $189.90	Professional		$75.56	$119.32	$189.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $133.72 / $607.82	Facility		$100.00	$133.72	$607.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.04 / $180.65 / $277.26	Professional		$110.04	$180.65	$277.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.06 / $167.07 / $269.12	Facility		$93.06	$167.07	$269.12
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $189.47 / $298.58 / $403.67	Facility	50	$189.47	$298.58	$403.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $518.09 / $518.09 / $518.09	Professional		$518.09	$518.09	$518.09
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $777.13 / $777.13 / $777.13	Professional	50	$777.13	$777.13	$777.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $150.60 / $235.77	Professional		$109.81	$150.60	$235.77
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 $108.27 / $152.76 / $315.27	Professional		$108.27	$152.76	$315.27