Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.64 / $787.10 / $9,062.00	Facility		$125.64	$787.10	$9,062.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,574.20 / $1,574.20 / $1,574.20	Facility	50	$1,574.20	$1,574.20	$1,574.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.51 / $125.64 / $213.76	Professional		$97.51	$125.64	$213.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $196.46 / $270.07 / $617.10	Professional	50	$196.46	$270.07	$617.10
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $339.46 / $339.46 / $339.46	Professional	50	$339.46	$339.46	$339.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $413.84 / $983.24 / $1,676.71	Facility		$413.84	$983.24	$1,676.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $158.04 / $252.88	Professional		$106.08	$158.04	$252.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $113.18 / $186.13	Facility		$100.00	$113.18	$186.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.46 / $164.16 / $284.25	Professional		$127.46	$164.16	$284.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.64 / $159.50 / $262.56	Facility		$125.64	$159.50	$262.56
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $229.82 / $245.01 / $421.67	Facility	50	$229.82	$245.01	$421.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.93 / $112.93 / $112.93	Professional		$112.93	$112.93	$112.93
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $169.39 / $169.39 / $169.39	Professional	50	$169.39	$169.39	$169.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $152.90 / $258.63	Professional		$92.25	$152.90	$258.63
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 $106.96 / $141.24 / $310.25	Professional		$106.96	$141.24	$310.25