Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,749.46 / $9,032.10 / $21,873.82	Facility		$2,749.46	$9,032.10	$21,873.82
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,611.95 / $9,626.78 / $16,797.00	Facility	50	$4,611.95	$9,626.78	$16,797.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $430.13 / $860.27 / $3,420.19	Professional	50	$430.13	$860.27	$3,420.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $453.27 / $544.42 / $906.54	Professional	50	$453.27	$544.42	$906.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,927.20 / $8,343.75 / $17,644.89	Facility		$3,927.20	$8,343.75	$17,644.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $462.87 / $2,191.29 / $3,884.19	Facility		$462.87	$2,191.29	$3,884.19
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $968.17 / $3,286.94 / $6,332.07	Facility	50	$968.17	$3,286.94	$6,332.07
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $10,960.35 / $10,960.35 / $10,960.35	Professional	50	$10,960.35	$10,960.35	$10,960.35
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