Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.58 / $1,282.81 / $4,862.00	Facility		$142.58	$1,282.81	$4,862.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $661.50 / $898.13 / $1,575.07	Facility	50	$661.50	$898.13	$1,575.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $84.72 / $207.20	Professional		$48.88	$84.72	$207.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.70 / $128.52 / $332.08	Professional	50	$72.70	$128.52	$332.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $84.83 / $90.48	Professional		$50.94	$84.83	$90.48
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $78.19 / $127.24 / $135.72	Professional	50	$78.19	$127.24	$135.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.79 / $644.20 / $1,012.83	Facility		$289.79	$644.20	$1,012.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $109.96 / $290.67	Professional		$49.76	$109.96	$290.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.87 / $86.87 / $890.00	Facility		$86.87	$86.87	$890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $105.85 / $172.87	Professional		$65.18	$105.85	$172.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.35 / $107.59 / $167.44	Facility		$60.35	$107.59	$167.44
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $127.40 / $161.38 / $261.61	Facility	50	$127.40	$161.38	$261.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $111.83 / $172.70	Professional		$82.31	$111.83	$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 $73.05 / $99.74 / $213.84	Professional		$73.05	$99.74	$213.84