Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.07 / $5,861.21 / $22,331.00	Facility		$586.07	$5,861.21	$22,331.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,610.15 / $5,610.15 / $5,610.15	Facility	50	$5,610.15	$5,610.15	$5,610.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.13 / $1,281.08 / $3,811.05	Professional		$418.13	$1,281.08	$3,811.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $560.05 / $701.05 / $701.05	Professional		$560.05	$701.05	$701.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,748.47 / $9,243.78 / $15,937.45	Facility		$3,748.47	$9,243.78	$15,937.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.32 / $695.00 / $2,643.90	Professional		$407.32	$695.00	$2,643.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,195.95 / $15,195.95 / $19,527.07	Facility		$15,195.95	$15,195.95	$19,527.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.87 / $1,202.85 / $3,750.23	Professional		$519.87	$1,202.85	$3,750.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $511.44 / $2,280.08 / $4,708.45	Facility		$511.44	$2,280.08	$4,708.45
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,127.69 / $5,500.90 / $7,263.38	Facility	50	$1,127.69	$5,500.90	$7,263.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,907.09 / $10,701.30 / $13,444.80	Professional		$1,907.09	$10,701.30	$13,444.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,435.37 / $1,827.89 / $2,767.19	Professional		$1,435.37	$1,827.89	$2,767.19
United Facility/Professional Facility Modifier Low / Median / High Price $8,877.00 / $19,526.00 / $25,620.00	Facility		$8,877.00	$19,526.00	$25,620.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,919.40 / $2,865.05 / $5,305.73	Professional		$1,919.40	$2,865.05	$5,305.73