Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $4,897.79 / $16,595.87	Facility		$181.97	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $346.74	Professional		$114.82	$177.83	$346.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $407.38 / $1,047.13	Professional	50	$165.96	$407.38	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $134.90	Professional		$61.66	$120.23	$134.90
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $181.97 / $323.59	Professional	50	$177.83	$181.97	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $707.95 / $1,318.26	Facility		$416.87	$707.95	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $239.88	Professional		$104.71	$134.90	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $295.12	Professional		$109.65	$162.18	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $169.82 / $316.23	Facility		$117.49	$169.82	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,230.27 / $3,548.13	Facility		$354.81	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $218.78	Professional		$102.33	$138.04	$218.78