Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $6,025.60 / $16,595.87	Facility		$302.00	$6,025.60	$16,595.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $758.58 / $870.96 / $1,479.11	Facility	50	$758.58	$870.96	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $660.69	Professional		$213.80	$302.00	$660.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $1,174.90 / $3,630.78	Professional	50	$346.74	$1,174.90	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $398.11	Professional		$162.18	$234.42	$398.11
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $389.05 / $389.05 / $389.05	Professional	50	$389.05	$389.05	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,047.13 / $2,089.30	Facility		$575.44	$1,047.13	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $660.69	Professional		$173.78	$269.15	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $524.81	Professional		$229.09	$323.59	$524.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $338.84 / $660.69	Facility		$229.09	$338.84	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $7,762.47	Facility		$1,096.48	$3,715.35	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $457.09	Professional		$190.55	$269.15	$457.09