Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,691.53 / $9,120.11	Facility		$204.17	$2,691.53	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,230.27 / $2,511.89 / $3,890.45	Facility	50	$1,230.27	$2,511.89	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $426.58	Professional		$85.11	$169.82	$426.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $263.03 / $977.24	Professional	50	$125.89	$263.03	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $251.19	Professional		$79.43	$154.88	$251.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $223.87 / $398.11	Professional	50	$114.82	$223.87	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,548.82 / $2,951.21	Facility		$602.56	$1,548.82	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $194.98 / $316.23	Professional		$83.18	$194.98	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $575.44 / $776.25	Facility		$154.88	$575.44	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $331.13	Professional		$112.20	$194.98	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $416.87	Professional		$263.03	$263.03	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $181.97 / $323.59	Facility		$95.50	$181.97	$323.59
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 $75.86 / $141.25 / $316.23	Professional		$75.86	$141.25	$316.23