Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $10,000.00 / $18,197.01	Facility		$691.83	$10,000.00	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $2,691.53 / $4,677.35	Professional		$251.19	$2,691.53	$4,677.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $6,165.95 / $6,165.95 / $6,456.54	Professional	50	$6,165.95	$6,165.95	$6,456.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $3,548.13 / $3,715.35 / $6,165.95	Professional	50	$3,548.13	$3,715.35	$6,165.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,495.41 / $10,232.93	Facility		$2,691.53	$5,495.41	$10,232.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $2,884.03 / $3,890.45	Professional		$218.78	$2,884.03	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $5,128.61	Facility		$3,981.07	$3,981.07	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $691.83 / $6,309.57	Professional		$295.12	$691.83	$6,309.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,754.23 / $6,918.31	Facility		$269.15	$2,754.23	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $13,182.57 / $23,988.33	Facility		$5,128.61	$13,182.57	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $2,570.40 / $6,456.54	Professional		$245.47	$2,570.40	$6,456.54