Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $4,897.79 / $16,595.87	Facility		$190.55	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $371.54	Professional		$102.33	$158.49	$371.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $645.65 / $1,737.80	Professional	50	$218.78	$645.65	$1,737.80
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	50	$251.19	$251.19	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $446.68 / $741.31	Facility		$234.42	$446.68	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $478.63	Professional		$93.33	$169.82	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $141.25 / $186.21	Facility		$100.00	$141.25	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $346.74	Professional		$134.90	$218.78	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $177.83 / $302.00	Facility		$112.20	$177.83	$302.00
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 $1,096.48 / $3,890.45 / $7,762.47	Facility		$1,096.48	$3,890.45	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $288.40	Professional		$95.50	$158.49	$288.40