Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.79 / $5,639.00 / $7,993.00	Facility		$1,757.79	$5,639.00	$7,993.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,767.50 / $6,384.00 / $9,022.58	Facility	50	$3,767.50	$6,384.00	$9,022.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $494.03 / $1,234.90 / $8,768.98	Professional	50	$494.03	$1,234.90	$8,768.98
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $485.32 / $869.48 / $869.48	Professional	50	$485.32	$869.48	$869.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.15 / $626.15 / $626.15	Facility		$626.15	$626.15	$626.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $350.61 / $2,180.41 / $3,492.26	Facility		$350.61	$2,180.41	$3,492.26
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,132.35 / $3,355.79 / $5,863.96	Facility	50	$1,132.35	$3,355.79	$5,863.96
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $3,355.79 / $3,355.79 / $10,960.35	Professional	50	$3,355.79	$3,355.79	$10,960.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,606.00 / $14,893.00 / $22,265.00	Facility		$2,606.00	$14,893.00	$22,265.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,453.28 / $2,453.28	Facility		$55.00	$2,453.28	$2,453.28