Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.99 / $6,273.04 / $39,322.06	Facility		$319.99	$6,273.04	$39,322.06
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,021.59 / $9,584.39 / $29,224.21	Facility	50	$3,021.59	$9,584.39	$29,224.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.33 / $319.99 / $765.70	Professional		$259.33	$319.99	$765.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $275.00 / $388.22 / $2,573.80	Professional	50	$275.00	$388.22	$2,573.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.84 / $141.04 / $282.07	Professional		$131.84	$141.04	$282.07
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $197.76 / $202.36 / $329.29	Professional	50	$197.76	$202.36	$329.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.33 / $4,414.97 / $9,873.73	Facility		$1,230.33	$4,414.97	$9,873.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.28 / $568.00 / $1,010.31	Professional		$245.28	$568.00	$1,010.31
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 $291.45 / $419.48 / $681.38	Professional		$291.45	$419.48	$681.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $294.48 / $472.37 / $640.21	Facility		$294.48	$472.37	$640.21
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $533.48 / $774.00 / $1,081.77	Facility	50	$533.48	$774.00	$1,081.77
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 $255.34 / $340.56 / $532.54	Professional		$255.34	$340.56	$532.54
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 $257.61 / $383.86 / $698.18	Professional		$257.61	$383.86	$698.18