Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.84 / $3,758.51 / $18,092.20	Facility		$407.84	$3,758.51	$18,092.20
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $342.65 / $1,841.70 / $17,765.02	Facility	50	$342.65	$1,841.70	$17,765.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.27 / $590.66 / $2,421.69	Professional		$290.27	$590.66	$2,421.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $325.38 / $563.84 / $2,413.58	Professional	50	$325.38	$563.84	$2,413.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.15 / $201.99 / $291.49	Professional		$124.15	$201.99	$291.49
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $189.13 / $192.95 / $843.76	Professional	50	$189.13	$192.95	$843.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.77 / $407.77 / $496.61	Facility		$407.77	$407.77	$496.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $645.60 / $1,845.97	Professional		$282.00	$645.60	$1,845.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.02 / $723.59 / $2,895.70	Professional		$367.02	$723.59	$2,895.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $393.34 / $748.00 / $3,277.45	Facility		$393.34	$748.00	$3,277.45
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $781.50 / $1,129.32 / $4,923.00	Facility	50	$781.50	$1,129.32	$4,923.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,251.84 / $5,251.84 / $5,251.84	Professional		$5,251.84	$5,251.84	$5,251.84
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $7,877.76 / $7,877.76 / $7,877.76	Professional	50	$7,877.76	$7,877.76	$7,877.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,031.48 / $1,407.20 / $2,146.12	Professional		$1,031.48	$1,407.20	$2,146.12
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 $1,424.91 / $1,966.38 / $3,535.25	Professional		$1,424.91	$1,966.38	$3,535.25