Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $3,776.00 / $9,727.00	Facility		$158.63	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.84 / $190.56 / $296.70	Professional		$149.84	$190.56	$296.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $451.95 / $451.95 / $451.95	Professional	50	$451.95	$451.95	$451.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.09 / $145.09 / $145.09	Professional		$145.09	$145.09	$145.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.42 / $635.41 / $1,151.35	Facility		$331.42	$635.41	$1,151.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $145.09 / $351.15	Professional		$90.00	$145.09	$351.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.77 / $261.77 / $375.00	Facility		$261.77	$261.77	$375.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.24 / $219.94 / $355.39	Professional		$161.24	$219.94	$355.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.60 / $197.08 / $362.52	Facility		$121.60	$197.08	$362.52
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $181.50 / $315.57 / $605.92	Facility	50	$181.50	$315.57	$605.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.41 / $213.41 / $493.00	Professional		$213.41	$213.41	$493.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $320.12 / $320.12 / $320.12	Professional	50	$320.12	$320.12	$320.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.09 / $135.73 / $192.09	Professional		$94.09	$135.73	$192.09
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 $141.60 / $203.23 / $352.98	Professional		$141.60	$203.23	$352.98