Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $243.64 / $487.90	Facility		$65.00	$243.64	$487.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $325.60 / $325.60 / $325.60	Facility	50	$325.60	$325.60	$325.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $87.39 / $217.39	Professional		$52.00	$87.39	$217.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $153.38 / $323.74 / $734.90	Professional	50	$153.38	$323.74	$734.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.43 / $79.33 / $105.86	Professional		$67.43	$79.33	$105.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.64 / $152.19 / $261.61	Facility		$72.64	$152.19	$261.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $73.26 / $131.72	Professional		$44.54	$73.26	$131.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $98.63 / $168.01	Professional		$58.94	$98.63	$168.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $103.14 / $163.00	Facility		$52.00	$103.14	$163.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $112.50 / $212.01 / $244.50	Facility	50	$112.50	$212.01	$244.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $30.53 / $30.53	Professional		$30.53	$30.53	$30.53
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $45.80 / $45.80 / $45.80	Professional	50	$45.80	$45.80	$45.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $113.70 / $174.46	Professional		$89.47	$113.70	$174.46
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 $77.06 / $116.43 / $220.59	Professional		$77.06	$116.43	$220.59