Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.82 / $3,776.00 / $9,727.00	Facility		$127.82	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.59 / $159.22 / $247.84	Professional		$105.59	$159.22	$247.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.87 / $220.87 / $220.87	Professional	50	$220.87	$220.87	$220.87
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $237.70 / $237.70 / $237.70	Professional	50	$237.70	$237.70	$237.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.40 / $451.25 / $718.73	Facility		$199.40	$451.25	$718.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.79 / $340.47 / $546.95	Professional		$105.79	$340.47	$546.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $140.68 / $184.66	Facility		$100.00	$140.68	$184.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.90 / $223.66 / $324.89	Professional		$141.90	$223.66	$324.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.82 / $209.72 / $324.11	Facility		$127.82	$209.72	$324.11
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $233.82 / $377.73 / $481.36	Facility	50	$233.82	$377.73	$481.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.77 / $146.77 / $146.77	Professional		$146.77	$146.77	$146.77
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $220.16 / $220.16 / $220.16	Professional	50	$220.16	$220.16	$220.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.59 / $167.07 / $258.42	Professional		$124.59	$167.07	$258.42
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 $133.66 / $187.14 / $384.30	Professional		$133.66	$187.14	$384.30