Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.07 / $5,192.00 / $16,183.41	Facility		$383.07	$5,192.00	$16,183.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,172.84 / $3,172.84 / $3,172.84	Facility	50	$3,172.84	$3,172.84	$3,172.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.46 / $331.41 / $676.90	Professional		$241.46	$331.41	$676.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.97 / $211.42 / $211.42	Professional		$126.97	$211.42	$211.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,656.63 / $4,676.76 / $9,397.17	Facility		$1,656.63	$4,676.76	$9,397.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.22 / $306.80 / $455.74	Professional		$236.22	$306.80	$455.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $1,956.98 / $2,514.75	Facility		$505.00	$1,956.98	$2,514.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.55 / $384.27 / $722.03	Professional		$271.55	$384.27	$722.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $250.48 / $363.93 / $614.96	Facility		$250.48	$363.93	$614.96
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $477.00 / $571.50 / $892.02	Facility	50	$477.00	$571.50	$892.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,119.56 / $1,731.45 / $1,899.29	Professional		$1,119.56	$1,731.45	$1,899.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $302.45 / $503.59	Professional		$34.44	$302.45	$503.59
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.56 / $438.41 / $794.51	Professional		$305.56	$438.41	$794.51