Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,248.64 / $8,897.87 / $15,302.24	Facility		$4,248.64	$8,897.87	$15,302.24
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,734.75 / $5,734.75 / $10,763.00	Facility	50	$5,734.75	$5,734.75	$10,763.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.72 / $620.85 / $1,226.51	Professional		$361.72	$620.85	$1,226.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $367.20 / $724.85 / $907.33	Professional		$367.20	$724.85	$907.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,366.19 / $5,478.64 / $10,526.45	Facility		$2,366.19	$5,478.64	$10,526.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $527.16 / $927.63 / $1,641.79	Professional		$527.16	$927.63	$1,641.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.99 / $715.00 / $2,581.96	Facility		$618.99	$715.00	$2,581.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $61.52 / $61.52 / $61.52	Facility	AS	$61.52	$61.52	$61.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.99 / $806.86 / $1,388.13	Professional		$601.99	$806.86	$1,388.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $605.95 / $840.54 / $1,418.72	Facility		$605.95	$840.54	$1,418.72
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,152.65 / $1,465.20 / $2,494.50	Facility	50	$1,152.65	$1,465.20	$2,494.50
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $153.69 / $195.36 / $332.60	Facility	80	$153.69	$195.36	$332.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $102.90 / $134.72 / $232.82	Facility	AS	$102.90	$134.72	$232.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,144.91 / $2,144.91 / $2,144.91	Professional		$2,144.91	$2,144.91	$2,144.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $398.49 / $724.38	Professional		$75.30	$398.49	$724.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $12,269.00 / $19,591.00	Facility		$2,500.00	$12,269.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.40 / $623.33 / $1,232.08	Professional		$450.40	$623.33	$1,232.08