Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $7,943.28 / $13,182.57	Facility		$380.19	$7,943.28	$13,182.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,022.64 / $12,022.64 / $33,884.42	Facility	50	$12,022.64	$12,022.64	$33,884.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $1,071.52	Professional		$281.84	$478.63	$1,071.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,819.70 / $1,819.70 / $2,137.96	Professional	50	$1,819.70	$1,819.70	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $302.00 / $354.81	Professional		$128.82	$302.00	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,025.60 / $11,220.18	Facility		$2,398.83	$6,025.60	$11,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $478.63 / $794.33	Professional		$245.47	$478.63	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $338.84	Facility		$263.03	$263.03	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $1,096.48	Professional		$371.54	$616.60	$1,096.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $630.96 / $1,174.90	Facility		$371.54	$630.96	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $13,182.57 / $23,442.29	Facility		$5,128.61	$13,182.57	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $1,047.13	Professional		$316.23	$549.54	$1,047.13