Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.70 / $1,336.84 / $9,062.00	Facility		$189.70	$1,336.84	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.10 / $475.27 / $1,427.72	Professional		$169.10	$475.27	$1,427.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $124.28 / $127.85 / $409.22	Professional	50	$124.28	$127.85	$409.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $114.26 / $286.06	Professional		$85.90	$114.26	$286.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.80 / $392.40 / $941.51	Professional		$167.80	$392.40	$941.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $397.38 / $1,712.31	Professional		$212.00	$397.38	$1,712.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $207.20 / $419.12 / $1,512.72	Facility		$207.20	$419.12	$1,512.72
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $433.50 / $1,550.67 / $2,269.08	Facility	50	$433.50	$1,550.67	$2,269.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $732.09 / $930.20 / $1,411.82	Professional		$732.09	$930.20	$1,411.82
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $826.56 / $1,211.16 / $2,077.44	Professional		$826.56	$1,211.16	$2,077.44