Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.10 / $4,230.00 / $9,727.00	Facility		$256.10	$4,230.00	$9,727.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $753.31 / $867.67 / $1,468.11	Facility	50	$753.31	$867.67	$1,468.11
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $192.08 / $422.84 / $529.72	Facility	54	$192.08	$422.84	$529.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.68 / $277.54 / $404.45	Professional		$234.68	$277.54	$404.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $345.12 / $1,726.35 / $3,624.83	Professional	50	$345.12	$1,726.35	$3,624.83
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $148.03 / $204.88 / $451.02	Professional	54	$148.03	$204.88	$451.02
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $29.61 / $38.54 / $48.96	Professional	55	$29.61	$38.54	$48.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.65 / $222.43 / $323.52	Professional		$201.65	$222.43	$323.52
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $358.67 / $358.67 / $358.67	Professional	50	$358.67	$358.67	$358.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $585.23 / $1,222.34 / $2,100.88	Facility		$585.23	$1,222.34	$2,100.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $505.96 / $730.39	Professional		$199.00	$505.96	$730.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.67 / $213.67 / $213.67	Facility		$213.67	$213.67	$213.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.40 / $327.27 / $573.71	Professional		$248.40	$327.27	$573.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.36 / $338.00 / $658.00	Facility		$229.36	$338.00	$658.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $340.40 / $588.41 / $1,134.00	Facility	50	$340.40	$588.41	$1,134.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $215.51 / $215.51	Professional		$215.51	$215.51	$215.51
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $323.27 / $323.27 / $323.27	Professional	50	$323.27	$323.27	$323.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.29 / $205.19 / $276.64	Professional		$153.29	$205.19	$276.64
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.47 / $289.88 / $534.97	Professional		$219.47	$289.88	$534.97