Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.55 / $4,230.00 / $9,062.00	Facility		$321.55	$4,230.00	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $1,311.30 / $2,281.67	Professional		$115.35	$1,311.30	$2,281.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,201.85 / $2,604.94 / $3,843.48	Professional	50	$2,201.85	$2,604.94	$3,843.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,033.53 / $1,085.39 / $1,651.42	Professional		$1,033.53	$1,085.39	$1,651.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,146.35 / $1,816.15 / $4,720.53	Facility		$1,146.35	$1,816.15	$4,720.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $1,048.38 / $1,750.00	Professional		$109.64	$1,048.38	$1,750.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,248.31 / $1,248.31 / $1,604.11	Facility		$1,248.31	$1,248.31	$1,604.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $361.99 / $2,855.15	Professional		$147.19	$361.99	$2,855.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.21 / $1,503.84 / $2,963.93	Facility		$138.21	$1,503.84	$2,963.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $875.60 / $1,104.45 / $1,397.41	Professional		$875.60	$1,104.45	$1,397.41
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,313.40 / $1,313.40 / $2,096.12	Professional	50	$1,313.40	$1,313.40	$2,096.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,035.79 / $1,333.24 / $1,989.78	Professional		$1,035.79	$1,333.24	$1,989.78
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,409.08 / $2,246.16 / $4,072.95	Professional		$1,409.08	$2,246.16	$4,072.95