Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.42 / $1,204.42 / $9,691.28	Facility		$1,204.42	$1,204.42	$9,691.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.55 / $2,271.78 / $9,691.28	Professional		$689.55	$2,271.78	$9,691.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $718.17 / $718.17 / $718.17	Professional		$718.17	$718.17	$718.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,471.50 / $11,568.23 / $20,681.46	Facility		$4,471.50	$11,568.23	$20,681.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.26 / $1,295.38 / $4,410.99	Professional		$417.26	$1,295.38	$4,410.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $601.58 / $4,094.06 / $6,891.44	Facility		$601.58	$4,094.06	$6,891.44
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,157.52 / $7,587.99 / $9,864.33	Facility	50	$1,157.52	$7,587.99	$9,864.33
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $108.03 / $708.21 / $920.67	Facility	AS	$108.03	$708.21	$920.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,474.75 / $4,097.39 / $4,952.92	Professional		$2,474.75	$4,097.39	$4,952.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,389.98 / $3,050.96 / $4,596.46	Professional		$2,389.98	$3,050.96	$4,596.46
United Facility/Professional Professional Modifier Low / Median / High Price $3,231.52 / $5,257.44 / $9,740.78	Professional		$3,231.52	$5,257.44	$9,740.78