Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.20 / $1,570.48 / $7,799.00	Facility		$204.20	$1,570.48	$7,799.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $608.98 / $2,720.86 / $3,870.90	Facility	50	$608.98	$2,720.86	$3,870.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.40 / $159.12 / $292.35	Professional		$84.40	$159.12	$292.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.97 / $249.03 / $997.53	Professional	50	$128.97	$249.03	$997.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $151.08 / $174.85	Professional		$90.73	$151.08	$174.85
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $139.26 / $226.61 / $262.27	Professional	50	$139.26	$226.61	$262.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.27 / $1,647.14 / $2,859.97	Facility		$635.27	$1,647.14	$2,859.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $226.00 / $342.70	Professional		$88.62	$226.00	$342.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $580.00 / $781.44	Facility		$153.97	$580.00	$781.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.27 / $201.08 / $335.36	Professional		$114.27	$201.08	$335.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.80 / $204.20 / $347.14	Facility		$105.80	$204.20	$347.14
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $240.00 / $313.74 / $545.57	Facility	50	$240.00	$313.74	$545.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $671.62 / $671.62 / $671.62	Professional		$671.62	$671.62	$671.62
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,007.42 / $1,007.42 / $1,007.42	Professional	50	$1,007.42	$1,007.42	$1,007.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.63 / $223.67 / $345.40	Professional		$164.63	$223.67	$345.40
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.34 / $199.27 / $452.22	Professional		$142.34	$199.27	$452.22