Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $3,801.89 / $9,772.37	Facility		$309.03	$3,801.89	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	50	$977.24	$977.24	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $363.08	Professional		$114.82	$154.88	$363.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $389.05 / $933.25	Professional	50	$190.55	$389.05	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $199.53	Professional		$112.20	$186.21	$199.53
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $204.17 / $371.54	Professional	50	$169.82	$204.17	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $562.34 / $1,047.13	Facility		$331.13	$562.34	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $263.03	Professional		$107.15	$151.36	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $199.53 / $575.44	Facility		$128.82	$199.53	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $302.00	Professional		$138.04	$186.21	$302.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $316.23	Professional		$275.42	$275.42	$316.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $190.55 / $309.03	Facility		$120.23	$190.55	$309.03
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 / $1,230.27 / $3,548.13	Facility		$354.81	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $257.04	Professional		$102.33	$138.04	$257.04