Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.06 / $745.85 / $4,862.00	Facility		$113.06	$745.85	$4,862.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $690.56 / $745.86 / $864.07	Facility	50	$690.56	$745.86	$864.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $88.69 / $148.81	Professional		$56.76	$88.69	$148.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.15 / $169.59 / $248.56	Professional	50	$83.15	$169.59	$248.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $83.13 / $98.00	Professional		$55.43	$83.13	$98.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $91.46 / $91.46 / $148.83	Professional	50	$91.46	$91.46	$148.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.69 / $621.22 / $1,012.83	Facility		$328.69	$621.22	$1,012.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.20 / $126.53 / $276.58	Professional		$58.20	$126.53	$276.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.68 / $101.68 / $890.00	Facility		$101.68	$101.68	$890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $120.10 / $185.68	Professional		$75.81	$120.10	$185.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.92 / $118.20 / $183.10	Facility		$69.92	$118.20	$183.10
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $136.56 / $177.30 / $282.27	Facility	50	$136.56	$177.30	$282.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.07 / $172.70	Professional		$82.31	$112.07	$172.70
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.53 / $110.16 / $227.36	Professional		$78.53	$110.16	$227.36