Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.23 / $3,508.40 / $9,727.00	Facility		$300.23	$3,508.40	$9,727.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,347.59 / $7,660.10 / $7,660.10	Facility	50	$7,347.59	$7,660.10	$7,660.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.59 / $287.74 / $437.54	Professional		$180.59	$287.74	$437.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $563.47 / $1,387.31 / $1,393.58	Professional	50	$563.47	$1,387.31	$1,393.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $178.31 / $270.00	Professional		$83.34	$178.31	$270.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $3,438.42 / $7,727.77	Facility		$780.00	$3,438.42	$7,727.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.05 / $308.43 / $511.41	Professional		$155.05	$308.43	$511.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,007.90 / $1,295.17	Facility		$375.00	$1,007.90	$1,295.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.86 / $336.39 / $503.01	Professional		$216.86	$336.39	$503.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $200.98 / $345.26 / $495.01	Facility		$200.98	$345.26	$495.01
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $445.03 / $666.00 / $742.50	Facility	50	$445.03	$666.00	$742.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $831.70 / $891.75 / $1,036.14	Professional		$831.70	$891.75	$1,036.14
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,247.55 / $1,247.55 / $1,554.21	Professional	50	$1,247.55	$1,247.55	$1,554.21
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 $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.05 / $430.04 / $652.34	Professional		$238.05	$430.04	$652.34