Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $216.30 / $9,062.00	Facility		$56.40	$216.30	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $85.42 / $190.40	Professional		$52.97	$85.42	$190.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $212.43 / $212.43 / $342.05	Professional	50	$212.43	$212.43	$342.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $52.80 / $52.80	Professional		$52.80	$52.80	$52.80
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $96.68 / $96.68 / $96.68	Professional	50	$96.68	$96.68	$96.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.23 / $232.41 / $405.95	Facility		$118.23	$232.41	$405.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $72.22 / $146.36	Professional		$48.00	$72.22	$146.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $105.44 / $178.46	Professional		$64.92	$105.44	$178.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.60 / $104.72 / $174.63	Facility		$56.60	$104.72	$174.63
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $121.50 / $214.95 / $247.50	Facility	50	$121.50	$214.95	$247.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Professional		$44.00	$44.00	$44.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $66.00 / $66.00 / $66.00	Professional	50	$66.00	$66.00	$66.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $76.66 / $118.77	Professional		$60.89	$76.66	$118.77
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,138.00 / $2,922.00	Facility		$384.00	$1,138.00	$2,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $129.97 / $217.68	Professional		$75.31	$129.97	$217.68