Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $954.99 / $9,120.11	Facility		$79.43	$954.99	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $165.96 / $467.74	Professional		$64.57	$165.96	$467.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $97.72 / $213.80 / $380.19	Professional	50	$97.72	$213.80	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $331.13	Professional		$56.23	$77.62	$331.13
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $363.08 / $575.44	Professional	50	$77.62	$363.08	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $588.84 / $1,047.13	Facility		$331.13	$588.84	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $104.71 / $295.12	Professional		$58.88	$104.71	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $891.25	Facility		$114.82	$114.82	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $173.78 / $407.38	Professional		$85.11	$173.78	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $194.98 / $407.38	Facility		$69.18	$194.98	$407.38
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 / $1,202.26 / $3,548.13	Facility		$354.81	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $151.36 / $323.59	Professional		$60.26	$151.36	$323.59