Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,474.12 / $1,474.12 / $13,866.10	Facility		$1,474.12	$1,474.12	$13,866.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.46 / $2,769.13 / $13,866.10	Professional		$840.46	$2,769.13	$13,866.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $728.23 / $728.23 / $875.04	Professional		$728.23	$728.23	$875.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,410.25 / $11,754.19 / $20,681.46	Facility		$4,410.25	$11,754.19	$20,681.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.40 / $1,471.59 / $5,294.16	Professional		$508.40	$1,471.59	$5,294.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $758.75 / $7,051.19 / $9,987.24	Facility		$758.75	$7,051.19	$9,987.24
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,411.27 / $10,805.54 / $14,113.71	Facility	50	$1,411.27	$10,805.54	$14,113.71
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $131.72 / $1,008.52 / $1,317.28	Facility	AS	$131.72	$1,008.52	$1,317.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,474.75 / $7,433.46 / $9,363.76	Professional		$2,474.75	$7,433.46	$9,363.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,370.47 / $4,299.00 / $6,459.56	Professional		$3,370.47	$4,299.00	$6,459.56
United Facility/Professional Professional Modifier Low / Median / High Price $4,613.56 / $7,520.23 / $14,116.59	Professional		$4,613.56	$7,520.23	$14,116.59