Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.10 / $627.16 / $9,062.00	Facility		$153.10	$627.16	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.69 / $240.41 / $418.86	Professional		$114.69	$240.41	$418.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $380.09 / $380.09 / $419.21	Professional	50	$380.09	$380.09	$419.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.52 / $257.67 / $429.05	Professional		$236.52	$257.67	$429.05
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $200.57 / $200.57 / $354.78	Professional	50	$200.57	$200.57	$354.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.36 / $1,652.14 / $2,845.88	Facility		$775.36	$1,652.14	$2,845.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.64 / $276.00 / $407.96	Professional		$127.64	$276.00	$407.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.83 / $580.00 / $781.44	Facility		$221.83	$580.00	$781.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.12 / $279.30 / $505.02	Professional		$148.12	$279.30	$505.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $153.10 / $310.64 / $522.77	Facility		$153.10	$310.64	$522.77
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $347.27 / $697.53 / $898.50	Facility	50	$347.27	$697.53	$898.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $671.62 / $671.62 / $671.62	Professional		$671.62	$671.62	$671.62
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,007.42 / $1,007.42 / $1,007.42	Professional	50	$1,007.42	$1,007.42	$1,007.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.04 / $261.03 / $400.21	Professional		$192.04	$261.03	$400.21
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 $206.62 / $291.70 / $602.03	Professional		$206.62	$291.70	$602.03