Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.52 / $4,540.55 / $15,902.77	Facility		$765.52	$4,540.55	$15,902.77
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,340.70 / $4,340.70 / $13,620.57	Facility	50	$4,340.70	$4,340.70	$13,620.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.83 / $595.41 / $1,116.20	Professional		$442.83	$595.41	$1,116.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $462.55 / $770.20 / $796.02	Professional		$462.55	$770.20	$796.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,822.39 / $4,647.28 / $9,017.07	Facility		$1,822.39	$4,647.28	$9,017.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.43 / $527.44 / $850.80	Professional		$432.43	$527.44	$850.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $1,956.98 / $2,514.75	Facility		$580.00	$1,956.98	$2,514.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.48 / $656.88 / $1,267.21	Professional		$440.48	$656.88	$1,267.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $453.27 / $602.03 / $1,083.97	Facility		$453.27	$602.03	$1,083.97
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $687.00 / $926.96 / $1,510.90	Facility	50	$687.00	$926.96	$1,510.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,145.86 / $1,731.45 / $1,899.29	Professional		$1,145.86	$1,731.45	$1,899.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.49 / $398.49 / $763.65	Professional		$75.49	$398.49	$763.65
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.35 / $755.70 / $1,497.63	Professional		$492.35	$755.70	$1,497.63