Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $1,096.48 / $9,120.11	Facility		$77.62	$1,096.48	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $691.83 / $741.31 / $1,258.93	Facility	50	$691.83	$741.31	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $218.78	Professional		$57.54	$97.72	$218.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $169.82 / $309.03	Professional	50	$83.18	$169.82	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $134.90	Professional		$50.12	$85.11	$134.90
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $107.15 / $204.17	Professional	50	$69.18	$107.15	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $588.84 / $1,071.52	Facility		$269.15	$588.84	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $109.65 / $239.88	Professional		$52.48	$109.65	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $891.25	Facility		$102.33	$102.33	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $186.21	Professional		$72.44	$114.82	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $229.09	Professional		$151.36	$151.36	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $102.33 / $177.83	Facility		$63.10	$102.33	$177.83
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 $354.81 / $1,202.26 / $3,548.13	Facility		$354.81	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $91.20 / $173.78	Professional		$52.48	$91.20	$173.78