Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,627.50 / $6,470.00 / $13,800.88	Facility		$2,627.50	$6,470.00	$13,800.88
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,039.78 / $5,373.19 / $10,025.75	Facility	50	$4,039.78	$5,373.19	$10,025.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.45 / $502.48 / $1,183.43	Professional		$290.45	$502.48	$1,183.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.26 / $286.85 / $368.80	Professional		$220.26	$286.85	$368.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,539.51 / $4,330.82 / $9,225.35	Facility		$1,539.51	$4,330.82	$9,225.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.00 / $451.26 / $759.24	Professional		$373.00	$451.26	$759.24
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 $423.27 / $585.20 / $1,131.03	Professional		$423.27	$585.20	$1,131.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $417.00 / $510.89 / $963.88	Facility		$417.00	$510.89	$963.88
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $625.50 / $711.02 / $1,182.55	Facility	50	$625.50	$711.02	$1,182.55
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 $71.34 / $381.66 / $630.50	Professional		$71.34	$381.66	$630.50
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 $412.51 / $581.72 / $1,051.24	Professional		$412.51	$581.72	$1,051.24