Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,341.96 / $1,341.96 / $11,837.40	Facility		$1,341.96	$1,341.96	$11,837.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.54 / $2,522.96 / $11,837.40	Professional		$766.54	$2,522.96	$11,837.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.17 / $239.17 / $239.17	Professional		$239.17	$239.17	$239.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,313.63 / $11,088.93 / $21,386.98	Facility		$4,313.63	$11,088.93	$21,386.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.21 / $1,573.54 / $5,390.79	Professional		$467.21	$1,573.54	$5,390.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $689.92 / $5,355.59 / $8,134.59	Facility		$689.92	$5,355.59	$8,134.59
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,284.09 / $9,339.86 / $10,971.11	Facility	50	$1,284.09	$9,339.86	$10,971.11
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $171.21 / $1,245.31 / $1,462.81	Facility	80	$171.21	$1,245.31	$1,462.81
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $119.85 / $871.72 / $1,023.97	Facility	AS	$119.85	$871.72	$1,023.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,325.18 / $8,078.44 / $10,046.59	Professional		$5,325.18	$8,078.44	$10,046.59
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $7,987.77 / $7,987.77 / $15,069.89	Professional	50	$7,987.77	$7,987.77	$15,069.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,537.61 / $3,237.42 / $4,869.84	Professional		$2,537.61	$3,237.42	$4,869.84
United Facility/Professional Professional Modifier Low / Median / High Price $3,797.92 / $5,037.60 / $9,821.81	Professional		$3,797.92	$5,037.60	$9,821.81