Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.06 / $8,324.39 / $23,598.00	Facility		$1,075.06	$8,324.39	$23,598.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,508.30 / $5,508.30 / $5,508.30	Facility	50	$5,508.30	$5,508.30	$5,508.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.93 / $1,036.80 / $3,656.88	Professional		$381.93	$1,036.80	$3,656.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $385.34 / $402.08 / $512.60	Professional		$385.34	$402.08	$512.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $9,079.04 / $15,937.45	Facility		$2,500.00	$9,079.04	$15,937.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.80 / $645.82 / $2,349.69	Professional		$372.80	$645.82	$2,349.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,925.00 / $9,925.00 / $12,753.80	Facility		$9,925.00	$9,925.00	$12,753.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.29 / $1,100.28 / $3,736.53	Professional		$474.29	$1,100.28	$3,736.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $460.94 / $2,270.23 / $4,579.39	Facility		$460.94	$2,270.23	$4,579.39
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,031.52 / $5,246.74 / $7,064.85	Facility	50	$1,031.52	$5,246.74	$7,064.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,907.09 / $8,781.26 / $10,541.81	Professional		$1,907.09	$8,781.26	$10,541.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,409.07 / $1,790.45 / $2,679.16	Professional		$1,409.07	$1,790.45	$2,679.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $19,627.00 / $25,620.00	Facility		$3,028.00	$19,627.00	$25,620.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,816.44 / $2,997.13 / $5,158.82	Professional		$1,816.44	$2,997.13	$5,158.82