Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,284.80 / $6,673.80 / $11,893.17	Facility		$2,284.80	$6,673.80	$11,893.17
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,312.46 / $18,255.29 / $31,297.75	Facility	50	$12,312.46	$18,255.29	$31,297.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.92 / $837.32 / $2,850.00	Professional		$554.92	$837.32	$2,850.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $449.34 / $856.32 / $1,094.86	Professional		$449.34	$856.32	$1,094.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,056.32 / $4,409.88 / $8,409.65	Facility		$2,056.32	$4,409.88	$8,409.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $636.13 / $1,050.36	Professional		$579.00	$636.13	$1,050.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,956.98 / $1,956.98 / $2,514.75	Facility		$1,956.98	$1,956.98	$2,514.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.23 / $871.64 / $1,692.52	Professional		$436.23	$871.64	$1,692.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $401.51 / $757.48 / $1,438.22	Facility		$401.51	$757.48	$1,438.22
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $602.27 / $1,136.22 / $1,760.84	Facility	50	$602.27	$1,136.22	$1,760.84
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $80.30 / $151.50 / $234.78	Facility	80	$80.30	$151.50	$234.78
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $56.21 / $106.05 / $164.35	Facility	AS	$56.21	$106.05	$164.35
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 / $482.82 / $895.42	Professional		$75.49	$482.82	$895.42
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 $566.51 / $726.13 / $1,686.94	Professional		$566.51	$726.13	$1,686.94