Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,951.21 / $13,182.57	Facility		$173.78	$2,951.21	$13,182.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,630.27 / $6,309.57 / $9,549.93	Facility	50	$2,630.27	$6,309.57	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $660.69	Professional		$138.04	$181.97	$660.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $602.56 / $1,288.25	Professional	50	$251.19	$602.56	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $154.88 / $616.60	Professional		$75.86	$154.88	$616.60
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $229.09 / $398.11	Professional	50	$138.04	$229.09	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $5,370.32	Facility		$1,258.93	$2,754.23	$5,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $331.13	Professional		$144.54	$204.17	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $831.76 / $1,071.52	Facility		$575.44	$831.76	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $338.84	Professional		$169.82	$213.80	$338.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $218.78 / $363.08	Facility		$147.91	$218.78	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,760.83 / $10,000.00	Facility		$1,698.24	$6,760.83	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $316.23	Professional		$141.25	$186.21	$316.23