Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.05 / $659.40 / $9,062.00	Facility		$71.05	$659.40	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $88.23 / $135.38	Professional		$56.04	$88.23	$135.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $149.09 / $157.44 / $265.50	Professional	50	$149.09	$157.44	$265.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.60 / $97.60 / $97.60	Professional		$97.60	$97.60	$97.60
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $146.41 / $146.41 / $149.69	Professional	50	$146.41	$146.41	$149.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.75 / $621.22 / $1,012.83	Facility		$333.75	$621.22	$1,012.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.54 / $126.06 / $276.58	Professional		$58.54	$126.06	$276.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $102.18 / $890.00	Facility		$102.18	$102.18	$890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $121.47 / $186.47	Professional		$77.09	$121.47	$186.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.05 / $119.57 / $184.34	Facility		$71.05	$119.57	$184.34
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 $79.11 / $110.76 / $231.88	Professional		$79.11	$110.76	$231.88