Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.56 / $999.95 / $5,866.00	Facility		$221.56	$999.95	$5,866.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $925.76 / $999.96 / $3,155.55	Facility	50	$925.76	$999.96	$3,155.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.38 / $177.69 / $290.68	Professional		$99.38	$177.69	$290.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $146.88 / $282.27 / $448.86	Professional	50	$146.88	$282.27	$448.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.26 / $162.47 / $190.01	Professional		$105.26	$162.47	$190.01
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $146.88 / $161.57 / $285.01	Professional	50	$146.88	$161.57	$285.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $686.29 / $1,647.14 / $2,859.97	Facility		$686.29	$1,647.14	$2,859.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $241.09 / $375.16	Professional		$102.82	$241.09	$375.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.63 / $580.00 / $781.44	Facility		$178.63	$580.00	$781.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $224.92 / $363.87	Professional		$133.72	$224.92	$363.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.16 / $231.06 / $373.54	Facility		$123.16	$231.06	$373.54
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $268.17 / $350.66 / $564.28	Facility	50	$268.17	$350.66	$564.28
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 $164.63 / $224.15 / $345.40	Professional		$164.63	$224.15	$345.40
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 $156.49 / $221.42 / $491.46	Professional		$156.49	$221.42	$491.46