Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $4,897.79 / $9,772.37	Facility		$112.20	$4,897.79	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $177.83	Professional		$56.23	$93.33	$177.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $162.18 / $389.05	Professional	50	$147.91	$162.18	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $131.83	Professional		$85.11	$91.20	$131.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	50	$218.78	$218.78	$218.78
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 / $107.15 / $239.88	Professional		$52.48	$107.15	$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 / $117.49 / $186.21	Professional		$72.44	$117.49	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $229.09	Professional		$154.88	$154.88	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $104.71 / $177.83	Facility		$64.57	$104.71	$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 $53.70 / $91.20 / $173.78	Professional		$53.70	$91.20	$173.78