Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $6,025.60 / $16,595.87	Facility		$758.58	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,202.26 / $2,041.74	Professional		$275.42	$1,202.26	$2,041.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $162.18 / $660.69	Professional	50	$162.18	$162.18	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $371.54 / $371.54	Professional	50	$371.54	$371.54	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,754.40 / $11,481.54	Facility		$2,754.23	$5,754.40	$11,481.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $1,659.59	Professional		$257.04	$426.58	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $645.65 / $2,290.87	Professional		$309.03	$645.65	$2,290.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,202.26 / $2,570.40	Facility		$316.23	$1,202.26	$2,570.40
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 / $23,442.29	Facility		$5,128.61	$13,182.57	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,047.13 / $2,511.89	Professional		$288.40	$1,047.13	$2,511.89