Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $3,667.75 / $14,644.00	Facility		$136.94	$3,667.75	$14,644.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $249.47 / $825.89	Professional		$136.94	$249.47	$825.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $474.95 / $474.95 / $474.95	Professional	50	$474.95	$474.95	$474.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.51 / $200.51 / $200.51	Professional		$200.51	$200.51	$200.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.52 / $6,601.17 / $15,067.49	Facility		$2,202.52	$6,601.17	$15,067.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.64 / $234.18 / $1,290.71	Professional		$115.64	$234.18	$1,290.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.32 / $182.32 / $815.00	Facility		$182.32	$182.32	$815.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.36 / $319.50 / $793.88	Professional		$168.36	$319.50	$793.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $150.31 / $297.44 / $910.20	Facility		$150.31	$297.44	$910.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.51 / $161.30 / $244.98	Professional		$136.51	$161.30	$244.98
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $204.77 / $204.77 / $367.47	Professional	50	$204.77	$204.77	$367.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.94 / $227.40 / $348.93	Professional		$178.94	$227.40	$348.93
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.87 / $353.66 / $1,101.64	Professional		$200.87	$353.66	$1,101.64