Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.65 / $497.25 / $9,062.00	Facility		$98.65	$497.25	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $155.62 / $264.42	Professional		$69.73	$155.62	$264.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $140.28 / $140.28 / $256.50	Professional	50	$140.28	$140.28	$256.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $86.57 / $218.26	Professional		$86.57	$86.57	$218.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $808.03 / $1,666.92 / $2,887.55	Facility		$808.03	$1,666.92	$2,887.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $127.65 / $248.05	Professional		$78.70	$127.65	$248.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $375.00 / $781.44	Facility		$143.26	$375.00	$781.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.46 / $187.68 / $377.02	Professional		$91.46	$187.68	$377.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.23 / $223.45 / $398.51	Facility		$95.23	$223.45	$398.51
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $184.50 / $403.65 / $599.79	Facility	50	$184.50	$403.65	$599.79
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 $164.55 / $222.22 / $341.55	Professional		$164.55	$222.22	$341.55
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 $172.17 / $227.79 / $585.47	Professional		$172.17	$227.79	$585.47