Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.91 / $1,006.40 / $13,335.00	Facility		$131.91	$1,006.40	$13,335.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,506.75 / $1,506.75 / $6,847.42	Facility	50	$1,506.75	$1,506.75	$6,847.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.69 / $186.38 / $331.19	Professional		$116.69	$186.38	$331.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $298.91 / $837.68 / $1,503.00	Professional	50	$298.91	$837.68	$1,503.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.67 / $197.67 / $197.67	Professional		$197.67	$197.67	$197.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.29 / $758.30 / $1,346.70	Facility		$425.29	$758.30	$1,346.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $135.04 / $217.34	Professional		$104.00	$135.04	$217.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.94 / $157.94 / $202.96	Facility		$157.94	$157.94	$202.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.25 / $210.79 / $367.70	Professional		$125.25	$210.79	$367.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.69 / $215.48 / $339.63	Facility		$116.69	$215.48	$339.63
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $266.33 / $349.50 / $509.44	Facility	50	$266.33	$349.50	$509.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $139.74 / $141.36 / $172.60	Professional		$139.74	$141.36	$172.60
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $212.04 / $212.04 / $258.89	Professional	50	$212.04	$212.04	$258.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.30 / $170.01 / $263.84	Professional		$122.30	$170.01	$263.84
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 $176.31 / $257.99 / $437.13	Professional		$176.31	$257.99	$437.13