Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.36 / $598.40 / $9,062.00	Facility		$158.36	$598.40	$9,062.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $979.20 / $979.20 / $979.20	Facility	50	$979.20	$979.20	$979.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.22 / $145.00 / $262.35	Professional		$114.22	$145.00	$262.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $206.22 / $323.89 / $824.93	Professional	50	$206.22	$323.89	$824.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.58 / $117.58 / $135.05	Professional		$117.58	$117.58	$135.05
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $176.38 / $202.58 / $337.32	Professional	50	$176.38	$202.58	$337.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.86 / $599.80 / $1,004.92	Facility		$319.86	$599.80	$1,004.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.85 / $178.00 / $315.35	Professional		$114.85	$178.00	$315.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.58 / $198.85 / $580.00	Facility		$129.58	$198.85	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.13 / $186.06 / $302.64	Professional		$146.13	$186.06	$302.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $197.93 / $285.83	Facility		$134.13	$197.93	$285.83
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $251.62 / $358.56 / $455.93	Facility	50	$251.62	$358.56	$455.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $127.68 / $127.68	Professional		$127.68	$127.68	$127.68
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $191.52 / $191.52 / $191.52	Professional	50	$191.52	$191.52	$191.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.07 / $172.70	Professional		$82.31	$112.07	$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 $110.29 / $154.40 / $314.58	Professional		$110.29	$154.40	$314.58