Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.14 / $1,633.80 / $5,621.00	Facility		$278.14	$1,633.80	$5,621.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $816.90 / $1,584.01 / $2,996.50	Facility	50	$816.90	$1,584.01	$2,996.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $169.41 / $398.21	Professional		$54.87	$169.41	$398.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.31 / $131.69 / $1,236.75	Professional	50	$82.31	$131.69	$1,236.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.99 / $98.22 / $375.22	Professional		$58.99	$98.22	$375.22
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $90.54 / $147.33 / $338.68	Professional	50	$90.54	$147.33	$338.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.52 / $1,653.99 / $2,859.97	Facility		$800.52	$1,653.99	$2,859.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $93.10 / $265.74	Professional		$57.61	$93.10	$265.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.61 / $100.61 / $890.00	Facility		$100.61	$100.61	$890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $164.64 / $380.15	Professional		$79.75	$164.64	$380.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $240.44 / $368.83	Facility		$69.59	$240.44	$368.83
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $157.88 / $361.10 / $553.25	Facility	50	$157.88	$361.10	$553.25
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 $140.61 / $208.74 / $396.06	Professional		$140.61	$208.74	$396.06