Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.24 / $1,254.01 / $7,799.00	Facility		$141.24	$1,254.01	$7,799.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $804.10 / $804.10 / $804.10	Facility	50	$804.10	$804.10	$804.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $114.43 / $200.93	Professional		$88.28	$114.43	$200.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $155.72 / $301.39 / $1,244.40	Professional	50	$155.72	$301.39	$1,244.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.81 / $103.20 / $113.52	Professional		$101.81	$103.20	$113.52
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $152.71 / $157.90 / $200.00	Professional	50	$152.71	$157.90	$200.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.25 / $766.22 / $1,268.71	Facility		$402.25	$766.22	$1,268.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $194.84 / $425.38	Professional		$89.75	$194.84	$425.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.73 / $95.73 / $95.73	Facility		$95.73	$95.73	$95.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.62 / $159.22 / $300.00	Professional		$109.62	$159.22	$300.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $169.49 / $437.00	Facility		$104.86	$169.49	$437.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $157.29 / $395.95 / $915.00	Facility	50	$157.29	$395.95	$915.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $95.48 / $95.48	Professional		$95.48	$95.48	$95.48
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $143.22 / $143.22 / $143.22	Professional	50	$143.22	$143.22	$143.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $103.57 / $131.85	Professional		$80.11	$103.57	$131.85
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,078.00 / $3,585.00	Facility		$225.00	$1,078.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.90 / $129.03 / $283.52	Professional		$92.90	$129.03	$283.52