Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $4,265.80 / $9,772.37	Facility		$158.49	$4,265.80	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,584.89 / $1,584.89 / $1,698.24	Facility	50	$1,584.89	$1,584.89	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $316.23	Professional		$97.72	$134.90	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $302.00 / $676.08	Professional	50	$169.82	$302.00	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $131.83	Professional		$66.07	$117.49	$131.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $204.17 / $363.08	Professional	50	$158.49	$204.17	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $912.01 / $1,621.81	Facility		$389.05	$912.01	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $218.78	Professional		$100.00	$144.54	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $186.21	Facility		$100.00	$100.00	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $275.42	Professional		$125.89	$165.96	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $154.88 / $251.19	Facility		$112.20	$154.88	$251.19
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 $95.50 / $125.89 / $213.80	Professional		$95.50	$125.89	$213.80