Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.53 / $2,183.65 / $13,335.00	Facility		$220.53	$2,183.65	$13,335.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,092.34 / $1,092.34 / $1,092.34	Facility	50	$1,092.34	$1,092.34	$1,092.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.01 / $207.82 / $528.66	Professional		$128.01	$207.82	$528.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $273.17 / $437.06 / $1,538.00	Professional	50	$273.17	$437.06	$1,538.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $209.43 / $209.43 / $209.43	Professional		$209.43	$209.43	$209.43
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $314.14 / $314.14 / $314.14	Professional	50	$314.14	$314.14	$314.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $983.71 / $1,883.51 / $3,049.62	Facility		$983.71	$1,883.51	$3,049.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.75 / $182.11 / $261.47	Professional		$122.75	$182.11	$261.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.91 / $174.91 / $224.77	Facility		$174.91	$174.91	$224.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.78 / $220.12 / $388.17	Professional		$137.78	$220.12	$388.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $145.16 / $234.77 / $358.74	Facility		$145.16	$234.77	$358.74
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $285.83 / $367.50 / $538.11	Facility	50	$285.83	$367.50	$538.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.75 / $167.83 / $231.89	Professional		$154.75	$167.83	$231.89
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $251.75 / $251.75 / $347.84	Professional	50	$251.75	$251.75	$347.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.90 / $188.74 / $299.56	Professional		$127.90	$188.74	$299.56
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 $176.45 / $258.02 / $494.40	Professional		$176.45	$258.02	$494.40