Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $1,000.00 / $9,120.11	Facility		$123.03	$1,000.00	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $1,000.00 / $4,677.35	Facility	50	$933.25	$1,000.00	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $416.87	Professional		$102.33	$186.21	$416.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $302.00 / $758.58	Professional	50	$223.87	$302.00	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $269.15	Professional		$89.13	$165.96	$269.15
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $186.21 / $426.58	Professional	50	$128.82	$186.21	$426.58
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 $97.72 / $208.93 / $354.81	Professional		$97.72	$208.93	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $575.44 / $776.25	Facility		$177.83	$575.44	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $363.08	Professional		$131.83	$223.87	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $457.09	Professional		$295.12	$295.12	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $199.53 / $354.81	Facility		$109.65	$199.53	$354.81
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 $93.33 / $165.96 / $354.81	Professional		$93.33	$165.96	$354.81