Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.35 / $3,776.00 / $9,727.00	Facility		$123.35	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $118.57 / $129.82	Professional		$81.00	$118.57	$129.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $57.21 / $142.07 / $464.40	Professional	50	$57.21	$142.07	$464.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $94.71 / $94.71	Professional		$94.71	$94.71	$94.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.58 / $793.85 / $1,268.71	Facility		$415.58	$793.85	$1,268.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $96.43 / $198.87	Professional		$86.00	$96.43	$198.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.94 / $108.94 / $108.94	Facility		$108.94	$108.94	$108.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $129.93 / $250.71	Professional		$95.02	$129.93	$250.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.10 / $135.69 / $249.02	Facility		$96.10	$135.69	$249.02
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $141.00 / $220.64 / $492.00	Facility	50	$141.00	$220.64	$492.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $106.94 / $106.94	Professional		$106.94	$106.94	$106.94
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $160.41 / $160.41 / $160.41	Professional	50	$160.41	$160.41	$160.41
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 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $110.65 / $181.98	Professional		$84.95	$110.65	$181.98