Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.32 / $6,286.61 / $16,467.00	Facility		$378.32	$6,286.61	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.69 / $986.81 / $1,663.58	Professional		$269.69	$986.81	$1,663.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,436.62 / $2,463.08 / $2,891.21	Professional	50	$2,436.62	$2,463.08	$2,891.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $805.24 / $1,512.01 / $1,512.01	Professional		$805.24	$1,512.01	$1,512.01
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $2,268.02 / $2,268.02 / $2,268.02	Professional	50	$2,268.02	$2,268.02	$2,268.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.00 / $6,151.53 / $10,789.39	Facility		$1,737.00	$6,151.53	$10,789.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.83 / $675.96 / $1,822.29	Professional		$265.83	$675.96	$1,822.29
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 $380.81 / $838.36 / $2,373.06	Professional		$380.81	$838.36	$2,373.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $366.16 / $1,330.87 / $3,141.17	Facility		$366.16	$1,330.87	$3,141.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,204.86 / $1,788.46 / $2,203.92	Professional		$1,204.86	$1,788.46	$2,203.92
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,807.31 / $1,807.31 / $3,305.90	Professional	50	$1,807.31	$1,807.31	$3,305.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $822.08 / $1,043.86 / $1,579.63	Professional		$822.08	$1,043.86	$1,579.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,316.61 / $12,269.00 / $19,591.00	Facility		$2,316.61	$12,269.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $997.98 / $1,715.96 / $3,113.22	Professional		$997.98	$1,715.96	$3,113.22