Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.32 / $1,086.32 / $7,980.06	Facility		$1,086.32	$1,086.32	$7,980.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.94 / $2,043.00 / $7,980.06	Professional		$621.94	$2,043.00	$7,980.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.06 / $345.06 / $345.06	Professional		$345.06	$345.06	$345.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,210.41 / $12,408.81 / $21,386.98	Facility		$3,210.41	$12,408.81	$21,386.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.96 / $1,116.51 / $3,637.04	Professional		$375.96	$1,116.51	$3,637.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $542.20 / $3,510.15 / $5,732.58	Facility		$542.20	$3,510.15	$5,732.58
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,043.26 / $6,312.77 / $8,122.56	Facility	50	$1,043.26	$6,312.77	$8,122.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,474.75 / $3,856.29 / $4,606.42	Professional		$2,474.75	$3,856.29	$4,606.42
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $3,712.13 / $3,712.13 / $6,909.63	Professional	50	$3,712.13	$3,712.13	$6,909.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,069.43 / $2,641.37 / $3,993.99	Professional		$2,069.43	$2,641.37	$3,993.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,696.55 / $4,339.97 / $7,794.38	Professional		$2,696.55	$4,339.97	$7,794.38