Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,093.07 / $6,381.91 / $14,060.63	Facility		$2,093.07	$6,381.91	$14,060.63
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $14,555.40 / $14,555.40 / $14,555.40	Facility	50	$14,555.40	$14,555.40	$14,555.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.17 / $616.78 / $2,093.07	Professional		$274.17	$616.78	$2,093.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,081.66 / $2,081.66 / $2,081.66	Professional	50	$2,081.66	$2,081.66	$2,081.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $536.16 / $536.16 / $536.16	Professional		$536.16	$536.16	$536.16
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $241.50 / $241.50 / $241.50	Professional	50	$241.50	$241.50	$241.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,214.89 / $5,517.87 / $11,411.52	Facility		$2,214.89	$5,517.87	$11,411.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.51 / $587.94 / $2,179.21	Professional		$314.51	$587.94	$2,179.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.05 / $896.49 / $3,008.55	Professional		$361.05	$896.49	$3,008.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $407.33 / $2,002.14 / $3,131.30	Facility		$407.33	$2,002.14	$3,131.30
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $854.60 / $3,003.21 / $4,726.64	Facility	50	$854.60	$3,003.21	$4,726.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,534.87 / $5,534.87 / $5,534.87	Professional		$5,534.87	$5,534.87	$5,534.87
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $8,302.29 / $8,302.29 / $8,302.29	Professional	50	$8,302.29	$8,302.29	$8,302.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,235.32 / $1,681.90 / $2,569.03	Professional		$1,235.32	$1,681.90	$2,569.03
United Facility/Professional Facility Modifier Low / Median / High Price $5,114.00 / $12,798.00 / $19,591.00	Facility		$5,114.00	$12,798.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,437.80 / $2,055.54 / $3,560.94	Professional		$1,437.80	$2,055.54	$3,560.94