Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.25 / $1,076.66 / $11,269.00	Facility		$293.25	$1,076.66	$11,269.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,189.54 / $8,621.89 / $12,393.00	Facility	50	$5,189.54	$8,621.89	$12,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.67 / $381.22 / $738.50	Professional		$237.67	$381.22	$738.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $171.32 / $236.42 / $1,641.56	Professional	50	$171.32	$236.42	$1,641.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $121.00 / $129.44	Professional		$121.00	$121.00	$129.44
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $185.72 / $185.72 / $185.72	Professional	50	$185.72	$185.72	$185.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,278.55 / $4,362.95 / $10,425.29	Facility		$1,278.55	$4,362.95	$10,425.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.12 / $468.80 / $730.79	Professional		$225.12	$468.80	$730.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $3,086.58 / $3,966.31	Facility		$580.00	$3,086.58	$3,966.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.50 / $435.68 / $842.44	Professional		$303.50	$435.68	$842.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $293.25 / $446.66 / $817.09	Facility		$293.25	$446.66	$817.09
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $521.42 / $663.00 / $1,163.57	Facility	50	$521.42	$663.00	$1,163.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,246.79 / $2,730.89 / $3,212.86	Professional		$1,246.79	$2,730.89	$3,212.86
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,870.19 / $1,870.19 / $4,819.29	Professional	50	$1,870.19	$1,870.19	$4,819.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $360.28 / $488.14 / $761.51	Professional		$360.28	$488.14	$761.51
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 $289.19 / $451.75 / $1,134.20	Professional		$289.19	$451.75	$1,134.20