Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,677.35 / $10,715.19	Facility		$2,951.21	$4,677.35	$10,715.19
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,754.40 / $5,754.40 / $7,413.10	Facility	50	$5,754.40	$5,754.40	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $851.14 / $2,691.53	Professional		$275.42	$851.14	$2,691.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $426.58 / $741.31 / $4,677.35	Professional	50	$426.58	$741.31	$4,677.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $524.81 / $537.03	Professional		$138.04	$524.81	$537.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $407.38 / $467.74 / $812.83	Professional	50	$407.38	$467.74	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,623.41 / $11,481.54	Facility		$2,818.38	$5,623.41	$11,481.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $2,187.76	Professional		$302.00	$446.68	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $707.95 / $2,818.38	Professional		$354.81	$707.95	$2,818.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,513.56 / $3,311.31	Facility		$363.08	$1,513.56	$3,311.31
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 $8,709.64 / $20,417.38 / $25,703.96	Facility		$8,709.64	$20,417.38	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,258.93 / $2,818.38	Professional		$323.59	$1,258.93	$2,818.38