Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,778.28 / $9,120.11	Facility		$275.42	$1,778.28	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $812.83 / $1,584.89 / $1,584.89	Facility	50	$812.83	$1,584.89	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $177.83 / $707.95	Professional		$56.23	$177.83	$707.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $131.83 / $1,174.90	Professional	50	$83.18	$131.83	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $194.98 / $257.04	Professional		$50.12	$194.98	$257.04
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $109.65 / $426.58	Professional	50	$77.62	$109.65	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,621.81 / $2,951.21	Facility		$831.76	$1,621.81	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $263.03	Professional		$52.48	$85.11	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $891.25	Facility		$100.00	$100.00	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $151.36 / $380.19	Professional		$75.86	$151.36	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $181.97 / $371.54	Facility		$60.26	$181.97	$371.54
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 $52.48 / $138.04 / $288.40	Professional		$52.48	$138.04	$288.40