Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.02 / $3,776.00 / $9,727.00	Facility		$79.02	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $88.11 / $136.06	Professional		$65.31	$88.11	$136.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $487.05 / $487.05 / $487.05	Professional	50	$487.05	$487.05	$487.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $68.16 / $68.16	Professional		$68.16	$68.16	$68.16
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $126.54 / $136.03 / $136.03	Professional	50	$126.54	$136.03	$136.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.24 / $638.20 / $1,006.88	Facility		$338.24	$638.20	$1,006.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $94.00 / $151.31	Professional		$66.56	$94.00	$151.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $100.00 / $115.70	Facility		$75.09	$100.00	$115.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $109.70 / $180.58	Professional		$84.85	$109.70	$180.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.02 / $106.57 / $179.37	Facility		$79.02	$106.57	$179.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $72.56 / $72.56	Professional		$72.56	$72.56	$72.56
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $108.86 / $108.86 / $108.86	Professional	50	$108.86	$108.86	$108.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $75.30 / $117.88	Professional		$54.90	$75.30	$117.88
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 $72.28 / $98.07 / $210.62	Professional		$72.28	$98.07	$210.62