Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.08 / $4,204.20 / $9,062.00	Facility		$281.08	$4,204.20	$9,062.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,335.09 / $2,335.09 / $2,335.09	Facility	50	$2,335.09	$2,335.09	$2,335.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.48 / $308.02 / $482.74	Professional		$199.48	$308.02	$482.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $299.22 / $299.22 / $299.22	Professional	50	$299.22	$299.22	$299.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.74 / $186.74 / $267.04	Professional		$186.74	$186.74	$267.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.37 / $3,784.55 / $6,557.92	Facility		$1,689.37	$3,784.55	$6,557.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.08 / $288.26 / $425.11	Professional		$196.08	$288.26	$425.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $901.20 / $1,158.06	Facility		$505.00	$901.20	$1,158.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.42 / $348.54 / $602.38	Professional		$236.42	$348.54	$602.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $238.93 / $401.94 / $643.69	Facility		$238.93	$401.94	$643.69
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $436.19 / $693.84 / $898.50	Facility	50	$436.19	$693.84	$898.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $690.04 / $797.34 / $958.76	Professional		$690.04	$797.34	$958.76
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,035.06 / $1,035.06 / $1,438.13	Professional	50	$1,035.06	$1,035.06	$1,438.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $250.55 / $414.82	Professional		$32.47	$250.55	$414.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $4,877.00 / $9,900.00	Facility		$1,689.00	$4,877.00	$9,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.54 / $420.21 / $734.43	Professional		$296.54	$420.21	$734.43