Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.12 / $1,354.92 / $9,727.00	Facility		$180.12	$1,354.92	$9,727.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $90.06 / $210.91 / $677.46	Facility	52	$90.06	$210.91	$677.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.77 / $421.82 / $1,064.16	Professional		$146.77	$421.82	$1,064.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.58 / $245.64 / $245.64	Professional		$205.58	$245.64	$245.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $604.83 / $1,220.26 / $2,159.51	Facility		$604.83	$1,220.26	$2,159.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $296.39 / $790.11	Professional		$137.22	$296.39	$790.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $804.65 / $804.65 / $1,033.99	Facility		$804.65	$804.65	$1,033.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.03 / $422.71 / $1,348.61	Professional		$208.03	$422.71	$1,348.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $180.12 / $693.52 / $1,261.20	Facility		$180.12	$693.52	$1,261.20
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $398.83 / $1,851.45 / $1,891.80	Facility	50	$398.83	$1,851.45	$1,891.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $253.68 / $711.91 / $879.57	Professional		$253.68	$711.91	$879.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $521.07 / $710.27 / $1,088.79	Professional		$521.07	$710.27	$1,088.79
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $551.03 / $959.47 / $1,767.15	Professional		$551.03	$959.47	$1,767.15