Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.68 / $3,776.00 / $9,062.00	Facility		$79.68	$3,776.00	$9,062.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $730.10 / $788.56 / $788.56	Facility	50	$730.10	$788.56	$788.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $106.20 / $387.67	Professional		$63.06	$106.20	$387.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.11 / $58.11 / $58.11	Professional		$58.11	$58.11	$58.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $663.87 / $683.41 / $736.12	Facility		$663.87	$683.41	$736.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $80.80 / $312.20	Professional		$38.00	$80.80	$312.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $178.84 / $503.75	Professional		$75.89	$178.84	$503.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.68 / $214.61 / $469.08	Facility		$79.68	$214.61	$469.08
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $184.97 / $321.92 / $811.73	Facility	50	$184.97	$321.92	$811.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,188.16 / $1,188.16 / $1,188.16	Professional		$1,188.16	$1,188.16	$1,188.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.39 / $316.18 / $476.68	Professional		$231.39	$316.18	$476.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $3,866.00 / $6,584.00	Facility		$1,106.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.54 / $274.88 / $536.61	Professional		$161.54	$274.88	$536.61