Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.41 / $5,107.20 / $9,863.00	Facility		$392.41	$5,107.20	$9,863.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,893.68 / $11,893.68 / $33,777.60	Facility	50	$11,893.68	$11,893.68	$33,777.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.95 / $486.52 / $1,162.83	Professional		$263.95	$486.52	$1,162.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,810.54 / $1,810.54 / $1,810.54	Professional	50	$1,810.54	$1,810.54	$1,810.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $131.97 / $210.98 / $337.57	Professional	52	$131.97	$210.98	$337.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $175.36	Professional		$131.83	$131.83	$175.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.35 / $6,116.15 / $10,789.39	Facility		$2,344.35	$6,116.15	$10,789.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.52 / $542.00 / $960.22	Professional		$257.52	$542.00	$960.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.22 / $264.22 / $339.53	Facility		$264.22	$264.22	$339.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.20 / $611.84 / $1,086.83	Professional		$383.20	$611.84	$1,086.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $368.92 / $665.32 / $1,046.24	Facility		$368.92	$665.32	$1,046.24
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $592.29 / $1,107.00 / $1,529.56	Facility	50	$592.29	$1,107.00	$1,529.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $233.76 / $384.14 / $408.04	Professional		$233.76	$384.14	$408.04
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $576.21 / $612.05 / $612.05	Professional	50	$576.21	$612.05	$612.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $373.63 / $595.10	Professional		$34.77	$373.63	$595.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,186.00 / $12,456.00 / $22,523.00	Facility		$5,186.00	$12,456.00	$22,523.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.85 / $694.40 / $1,200.48	Professional		$420.85	$694.40	$1,200.48