Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.05 / $2,596.00 / $9,062.00	Facility		$265.05	$2,596.00	$9,062.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,596.00 / $7,009.50 / $12,393.00	Facility	50	$2,596.00	$7,009.50	$12,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.85 / $355.98 / $619.38	Professional		$173.85	$355.98	$619.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $84.65 / $351.30 / $1,478.30	Professional	50	$84.65	$351.30	$1,478.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $95.25 / $95.25	Professional		$95.25	$95.25	$95.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $133.56 / $173.94 / $267.13	Professional	50	$133.56	$173.94	$267.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $924.04 / $3,874.32 / $9,368.64	Facility		$924.04	$3,874.32	$9,368.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.66 / $324.45 / $696.25	Professional		$165.66	$324.45	$696.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $1,774.26 / $2,279.96	Facility		$505.00	$1,774.26	$2,279.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.77 / $433.45 / $615.84	Professional		$251.77	$433.45	$615.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $226.01 / $409.38 / $639.36	Facility		$226.01	$409.38	$639.36
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $476.62 / $637.50 / $1,020.00	Facility	50	$476.62	$637.50	$1,020.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,107.11 / $1,569.80 / $1,747.48	Professional		$1,107.11	$1,569.80	$1,747.48
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,660.68 / $1,660.68 / $2,621.21	Professional	50	$1,660.68	$1,660.68	$2,621.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.54 / $299.85 / $467.70	Professional		$219.54	$299.85	$467.70
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 $270.26 / $465.21 / $782.21	Professional		$270.26	$465.21	$782.21