Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.72 / $5,707.09 / $12,654.16	Facility		$403.72	$5,707.09	$12,654.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,084.79 / $3,084.79 / $5,175.74	Facility	50	$3,084.79	$3,084.79	$5,175.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.13 / $1,081.00 / $3,101.96	Professional		$308.13	$1,081.00	$3,101.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.33 / $915.03 / $1,495.13	Professional		$252.33	$915.03	$1,495.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,918.43 / $9,629.58 / $17,705.00	Facility		$3,918.43	$9,629.58	$17,705.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.95 / $739.33 / $2,511.00	Professional		$264.95	$739.33	$2,511.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,021.41 / $2,021.41 / $2,597.55	Facility		$2,021.41	$2,021.41	$2,597.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.71 / $851.44 / $2,577.19	Professional		$380.71	$851.44	$2,577.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $366.16 / $1,464.35 / $3,407.54	Facility		$366.16	$1,464.35	$3,407.54
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $728.08 / $4,035.34 / $6,000.00	Facility	50	$728.08	$4,035.34	$6,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,788.46 / $1,860.60 / $2,203.92	Professional		$1,788.46	$1,860.60	$2,203.92
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $2,790.90 / $2,790.90 / $3,305.90	Professional	50	$2,790.90	$2,790.90	$3,305.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $879.72 / $1,118.03 / $1,692.55	Professional		$879.72	$1,118.03	$1,692.55
United Facility/Professional Facility Modifier Low / Median / High Price $5,186.00 / $12,456.00 / $22,523.00	Facility		$5,186.00	$12,456.00	$22,523.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,295.73 / $2,113.92 / $3,931.54	Professional		$1,295.73	$2,113.92	$3,931.54