Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,778.28 / $9,120.11	Facility		$151.36	$1,778.28	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $251.19 / $691.83	Professional		$123.03	$251.19	$691.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $380.19 / $1,047.13 / $2,511.89	Professional	50	$380.19	$1,047.13	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $426.58	Professional		$107.15	$144.54	$426.58
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $354.81 / $354.81	Professional	50	$354.81	$354.81	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,548.82 / $2,951.21	Facility		$660.69	$1,548.82	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $275.42 / $380.19	Professional		$120.23	$275.42	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $575.44 / $776.25	Facility		$223.87	$575.44	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $489.78	Professional		$151.36	$269.15	$489.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $630.96	Professional		$588.84	$588.84	$630.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $275.42 / $537.03	Facility		$134.90	$275.42	$537.03
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 $114.82 / $208.93 / $416.87	Professional		$114.82	$208.93	$416.87