Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,445.44 / $9,772.37	Facility		$144.54	$1,445.44	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $524.81 / $707.95 / $1,548.82	Facility	50	$524.81	$707.95	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $162.18	Professional		$48.98	$83.18	$162.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $93.33 / $147.91 / $338.84	Professional	50	$93.33	$147.91	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $89.13 / $173.78	Professional		$44.67	$89.13	$173.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $107.15 / $257.04	Professional	50	$70.79	$107.15	$257.04
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 $46.77 / $100.00 / $275.42	Professional		$46.77	$100.00	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $891.25	Facility		$87.10	$87.10	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $173.78	Professional		$64.57	$104.71	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $213.80	Professional		$138.04	$138.04	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $93.33 / $169.82	Facility		$54.95	$93.33	$169.82
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 $46.77 / $77.62 / $151.36	Professional		$46.77	$77.62	$151.36