Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,621.81 / $16,595.87	Facility		$588.84	$1,621.81	$16,595.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,862.09 / $5,888.44 / $7,762.47	Facility	50	$1,862.09	$5,888.44	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $1,258.93	Professional		$467.74	$575.44	$1,258.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $1,288.25 / $3,388.44	Professional	50	$645.65	$1,288.25	$3,388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $524.81 / $1,047.13	Professional		$263.03	$524.81	$1,047.13
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $794.33 / $1,548.82	Professional	50	$602.56	$794.33	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,981.07 / $8,511.38	Facility		$1,737.80	$3,981.07	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $1,122.02	Professional		$478.63	$645.65	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $891.25	Professional		$524.81	$691.83	$891.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $676.08 / $954.99	Facility		$524.81	$676.08	$954.99
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 $436.52 / $562.34 / $1,023.29	Professional		$436.52	$562.34	$1,023.29