Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.56 / $5,866.00 / $9,565.36	Facility		$321.56	$5,866.00	$9,565.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,922.01 / $2,922.01 / $2,922.01	Facility	50	$2,922.01	$2,922.01	$2,922.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.59 / $586.29 / $1,855.24	Professional		$227.59	$586.29	$1,855.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $231.31 / $385.15	Professional		$115.65	$231.31	$385.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.20 / $251.20 / $251.20	Facility		$251.20	$251.20	$251.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.78 / $519.60 / $1,433.07	Professional		$223.78	$519.60	$1,433.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.14 / $571.76 / $2,279.30	Professional		$283.14	$571.76	$2,279.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $291.45 / $562.00 / $2,676.79	Facility		$291.45	$562.00	$2,676.79
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $558.00 / $850.10 / $4,205.57	Facility	50	$558.00	$850.10	$4,205.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,575.75 / $4,575.75 / $4,575.75	Professional		$4,575.75	$4,575.75	$4,575.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $927.52 / $1,263.52 / $1,932.15	Professional		$927.52	$1,263.52	$1,932.15
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,118.74 / $1,653.93 / $3,102.68	Professional		$1,118.74	$1,653.93	$3,102.68