Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.91 / $949.90 / $7,799.00	Facility		$187.91	$949.90	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $177.53 / $296.10	Professional		$62.36	$177.53	$296.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $92.96 / $181.18 / $382.41	Professional	50	$92.96	$181.18	$382.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $68.62 / $240.99	Professional		$68.62	$68.62	$240.99
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $102.93 / $102.93 / $102.93	Professional	50	$102.93	$102.93	$102.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.24 / $656.64 / $1,012.83	Facility		$338.24	$656.64	$1,012.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $104.17 / $293.37	Professional		$65.50	$104.17	$293.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $114.34 / $890.00	Facility		$114.34	$114.34	$890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $175.69 / $421.46	Professional		$91.38	$175.69	$421.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.86 / $254.94 / $407.22	Facility		$78.86	$254.94	$407.22
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $178.87 / $401.22 / $612.59	Facility	50	$178.87	$401.22	$612.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.96 / $258.90 / $397.25	Professional		$191.96	$258.90	$397.25
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 $154.18 / $217.12 / $440.85	Professional		$154.18	$217.12	$440.85