Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.94 / $277.51 / $9,062.00	Facility		$150.94	$277.51	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.09 / $146.43 / $170.51	Professional		$102.09	$146.43	$170.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $255.77 / $255.77 / $292.99	Professional	50	$255.77	$255.77	$292.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $122.08 / $122.08	Professional		$122.08	$122.08	$122.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.25 / $747.02 / $1,268.71	Facility		$402.25	$747.02	$1,268.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $131.50 / $223.90	Professional		$117.00	$131.50	$223.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.10 / $130.10 / $130.10	Facility		$130.10	$130.10	$130.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $156.53 / $306.81	Professional		$112.20	$156.53	$306.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $150.94 / $290.60	Facility		$112.00	$150.94	$290.60
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $168.00 / $222.60 / $501.00	Facility	50	$168.00	$222.60	$501.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $132.58 / $132.58 / $132.58	Professional		$132.58	$132.58	$132.58
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $198.87 / $198.87 / $198.87	Professional	50	$198.87	$198.87	$198.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $103.50 / $131.85	Professional		$79.45	$103.50	$131.85
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,147.00 / $3,585.00	Facility		$225.00	$1,147.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $136.06 / $223.63	Professional		$108.85	$136.06	$223.63