Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.19 / $3,776.00 / $9,727.00	Facility		$145.19	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.14 / $138.15 / $189.27	Professional		$94.14	$138.15	$189.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $163.34 / $192.17 / $230.60	Professional	50	$163.34	$192.17	$230.60
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $221.81 / $221.81 / $221.81	Professional	50	$221.81	$221.81	$221.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.49 / $535.07 / $874.70	Facility		$285.49	$535.07	$874.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $120.59 / $226.84	Professional		$90.00	$120.59	$226.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.91 / $135.91 / $135.91	Facility		$135.91	$135.91	$135.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.64 / $149.15 / $288.95	Professional		$101.64	$149.15	$288.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.01 / $144.30 / $278.94	Facility		$107.01	$144.30	$278.94
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $161.69 / $208.50 / $402.00	Facility	50	$161.69	$208.50	$402.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $136.41 / $136.41	Professional		$136.41	$136.41	$136.41
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $204.62 / $204.62 / $204.62	Professional	50	$204.62	$204.62	$204.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $119.79 / $159.64	Professional		$91.28	$119.79	$159.64
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 $97.42 / $133.53 / $219.22	Professional		$97.42	$133.53	$219.22