Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,673.47 / $9,062.00 / $12,433.85	Facility		$2,673.47	$9,062.00	$12,433.85
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,281.15 / $9,831.00 / $21,110.33	Facility	50	$5,281.15	$9,831.00	$21,110.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.57 / $581.47 / $2,673.47	Professional		$294.57	$581.47	$2,673.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $256.64 / $358.36 / $2,252.50	Professional	50	$256.64	$358.36	$2,252.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $300.14 / $326.00	Professional		$160.63	$300.14	$326.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $240.96 / $270.38 / $450.22	Professional	50	$240.96	$270.38	$450.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,992.40 / $8,384.10 / $17,644.89	Facility		$3,992.40	$8,384.10	$17,644.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.77 / $528.00 / $2,435.27	Professional		$348.77	$528.00	$2,435.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.80 / $1,009.21 / $3,528.37	Professional		$405.80	$1,009.21	$3,528.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $456.89 / $2,233.73 / $3,980.27	Facility		$456.89	$2,233.73	$3,980.27
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $961.25 / $3,350.60 / $6,055.09	Facility	50	$961.25	$3,350.60	$6,055.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7,047.16 / $7,047.16 / $7,047.16	Professional		$7,047.16	$7,047.16	$7,047.16
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $10,570.74 / $10,570.74 / $10,570.74	Professional	50	$10,570.74	$10,570.74	$10,570.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,515.69 / $2,058.87 / $3,155.54	Professional		$1,515.69	$2,058.87	$3,155.54
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 $1,767.86 / $2,524.34 / $4,530.38	Professional		$1,767.86	$2,524.34	$4,530.38