Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.39 / $1,426.60 / $9,062.00	Facility		$105.39	$1,426.60	$9,062.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $528.15 / $713.30 / $1,888.98	Facility	50	$528.15	$713.30	$1,888.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $80.40 / $137.00	Professional		$47.57	$80.40	$137.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $92.90 / $114.60 / $162.00	Professional	50	$92.90	$114.60	$162.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $51.33 / $89.37	Professional		$51.33	$51.33	$89.37
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $128.21 / $128.21 / $134.05	Professional	50	$128.21	$128.21	$134.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.75 / $655.82 / $1,012.83	Facility		$333.75	$655.82	$1,012.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $104.05 / $302.60	Professional		$50.14	$104.05	$302.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.34 / $87.34 / $890.00	Facility		$87.34	$87.34	$890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.19 / $106.54 / $172.73	Professional		$66.19	$106.54	$172.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.11 / $108.96 / $168.68	Facility		$61.11	$108.96	$168.68
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $127.40 / $163.44 / $261.61	Facility	50	$127.40	$163.44	$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 / $98.60 / $211.14	Professional		$73.05	$98.60	$211.14