Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.62 / $1,772.51 / $17,586.68	Facility		$753.62	$1,772.51	$17,586.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,658.76 / $2,658.76 / $2,658.76	Facility	50	$2,658.76	$2,658.76	$2,658.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.38 / $445.13 / $1,470.61	Professional		$245.38	$445.13	$1,470.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.44 / $108.88 / $204.87	Professional		$106.44	$108.88	$204.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.38 / $372.38 / $372.38	Facility		$372.38	$372.38	$372.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.36 / $541.20 / $1,120.24	Professional		$240.36	$541.20	$1,120.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.07 / $612.30 / $1,823.95	Professional		$307.07	$612.30	$1,823.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.83 / $632.36 / $1,926.10	Facility		$323.83	$632.36	$1,926.10
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $655.50 / $948.54 / $3,124.50	Facility	50	$655.50	$948.54	$3,124.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,078.72 / $3,078.72 / $3,078.72	Professional		$3,078.72	$3,078.72	$3,078.72
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $4,618.09 / $4,618.09 / $4,618.09	Professional	50	$4,618.09	$4,618.09	$4,618.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $620.19 / $842.26 / $1,290.71	Professional		$620.19	$842.26	$1,290.71
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 $810.65 / $1,156.04 / $2,156.31	Professional		$810.65	$1,156.04	$2,156.31