Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.55 / $5,621.00 / $9,062.00	Facility		$348.55	$5,621.00	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.87 / $242.18 / $414.16	Professional		$129.87	$242.18	$414.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $410.96 / $703.79 / $703.79	Professional	50	$410.96	$703.79	$703.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.67 / $246.96 / $410.25	Professional		$229.67	$246.96	$410.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.94 / $1,870.96 / $3,116.16	Facility		$989.94	$1,870.96	$3,116.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.81 / $201.60 / $378.82	Professional		$145.81	$201.60	$378.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.61 / $313.61 / $313.61	Facility		$313.61	$313.61	$313.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.14 / $277.83 / $490.58	Professional		$166.14	$277.83	$490.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $273.97 / $449.63	Facility		$150.97	$273.97	$449.63
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $218.09 / $413.92 / $723.00	Facility	50	$218.09	$413.92	$723.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $333.94 / $333.94 / $333.94	Professional		$333.94	$333.94	$333.94
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $500.90 / $500.90 / $500.90	Professional	50	$500.90	$500.90	$500.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $225.62 / $313.64	Professional		$30.34	$225.62	$313.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $4,877.00 / $9,900.00	Facility		$1,471.00	$4,877.00	$9,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.30 / $285.47 / $485.30	Professional		$229.30	$285.47	$485.30