Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,750.00 / $6,726.17 / $13,974.12	Facility		$1,750.00	$6,726.17	$13,974.12
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,750.00 / $5,107.20 / $5,515.65	Facility	50	$1,750.00	$5,107.20	$5,515.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.93 / $583.39 / $1,368.28	Professional		$438.93	$583.39	$1,368.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $431.67 / $689.70 / $863.33	Professional		$431.67	$689.70	$863.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,070.51 / $5,318.91 / $10,855.28	Facility		$2,070.51	$5,318.91	$10,855.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.00 / $506.43 / $876.06	Professional		$419.00	$506.43	$876.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.59 / $1,370.63 / $2,345.00	Facility		$589.59	$1,370.63	$2,345.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.92 / $662.71 / $1,136.55	Professional		$528.92	$662.71	$1,136.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $538.60 / $639.00 / $1,121.76	Facility		$538.60	$639.00	$1,121.76
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $870.00 / $958.50 / $1,597.22	Facility	50	$870.00	$958.50	$1,597.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,168.83 / $1,168.83 / $1,168.83	Professional		$1,168.83	$1,168.83	$1,168.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $380.33 / $685.14	Professional		$75.30	$380.33	$685.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,456.00 / $19,591.00	Facility		$2,155.00	$12,456.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.65 / $530.16 / $1,169.82	Professional		$416.65	$530.16	$1,169.82