Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.23 / $4,230.00 / $9,062.00	Facility		$191.23	$4,230.00	$9,062.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,486.50 / $3,486.50 / $6,558.38	Facility	50	$3,486.50	$3,486.50	$6,558.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.08 / $191.23 / $356.61	Professional		$148.08	$191.23	$356.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.63 / $130.97 / $172.71	Professional	50	$87.63	$130.97	$172.71
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $118.99 / $118.99 / $118.99	Professional	50	$118.99	$118.99	$118.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,490.40 / $4,049.54 / $8,116.91	Facility		$1,490.40	$4,049.54	$8,116.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.59 / $292.00 / $482.36	Professional		$147.59	$292.00	$482.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $1,007.90 / $1,295.17	Facility		$505.00	$1,007.90	$1,295.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.22 / $223.03 / $407.20	Professional		$176.22	$223.03	$407.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $159.62 / $247.19 / $369.15	Facility		$159.62	$247.19	$369.15
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $304.61 / $384.00 / $572.66	Facility	50	$304.61	$384.00	$572.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.75 / $1,036.14 / $1,246.79	Professional		$891.75	$1,036.14	$1,246.79
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,554.21 / $1,870.19 / $1,870.19	Professional	50	$1,554.21	$1,870.19	$1,870.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $189.80 / $299.97	Professional		$137.30	$189.80	$299.97
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 $150.07 / $207.57 / $381.29	Professional		$150.07	$207.57	$381.29