Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,215.69 / $3,951.92 / $7,799.00	Facility		$2,215.69	$3,951.92	$7,799.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,726.69 / $5,726.69 / $7,396.52	Facility	50	$5,726.69	$5,726.69	$7,396.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.12 / $620.49 / $2,215.69	Professional		$269.12	$620.49	$2,215.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $429.02 / $1,557.00 / $2,546.46	Professional	50	$429.02	$1,557.00	$2,546.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $288.41 / $288.41	Professional		$144.21	$288.41	$288.41
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $809.15 / $809.15 / $813.67	Professional	50	$809.15	$809.15	$813.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,414.28 / $5,517.87 / $11,411.52	Facility		$2,414.28	$5,517.87	$11,411.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.41 / $482.40 / $2,196.46	Professional		$313.41	$482.40	$2,196.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.22 / $904.53 / $3,086.69	Professional		$363.22	$904.53	$3,086.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $408.88 / $2,016.67 / $3,296.40	Facility		$408.88	$2,016.67	$3,296.40
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $858.90 / $3,025.01 / $4,984.18	Facility	50	$858.90	$3,025.01	$4,984.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,829.52 / $5,829.52 / $5,829.52	Professional		$5,829.52	$5,829.52	$5,829.52
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $8,744.29 / $8,744.29 / $8,744.29	Professional	50	$8,744.29	$8,744.29	$8,744.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,286.30 / $1,750.07 / $2,676.26	Professional		$1,286.30	$1,750.07	$2,676.26
United Facility/Professional Facility Modifier Low / Median / High Price $8,766.00 / $19,627.00 / $24,161.00	Facility		$8,766.00	$19,627.00	$24,161.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,499.64 / $2,175.96 / $3,710.91	Professional		$1,499.64	$2,175.96	$3,710.91