Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.83 / $4,030.70 / $8,995.00	Facility		$573.83	$4,030.70	$8,995.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,141.21 / $7,141.21 / $7,141.21	Facility	50	$7,141.21	$7,141.21	$7,141.21
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $124.43 / $286.92 / $1,020.97	Facility	52	$124.43	$286.92	$1,020.97
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $49.77 / $114.77 / $408.39	Facility	53	$49.77	$114.77	$408.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.44 / $352.62 / $1,340.79	Professional		$198.44	$352.62	$1,340.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $335.63 / $335.63 / $335.63	Professional		$335.63	$335.63	$335.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,052.27 / $1,737.00 / $4,728.22	Facility		$1,052.27	$1,737.00	$4,728.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $460.80 / $954.28	Professional		$187.50	$460.80	$954.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,221.33 / $1,221.33 / $1,569.43	Facility		$1,221.33	$1,221.33	$1,569.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.33 / $574.88 / $1,795.78	Professional		$278.33	$574.88	$1,795.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $248.85 / $979.20 / $1,589.80	Facility		$248.85	$979.20	$1,589.80
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $542.40 / $1,670.45 / $2,384.69	Facility	50	$542.40	$1,670.45	$2,384.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $907.88 / $1,080.58 / $1,286.61	Professional		$907.88	$1,080.58	$1,286.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $713.04 / $971.64 / $1,490.26	Professional		$713.04	$971.64	$1,490.26
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 $793.48 / $1,235.21 / $2,075.44	Professional		$793.48	$1,235.21	$2,075.44