Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.87 / $2,374.89 / $7,361.43	Facility		$277.87	$2,374.89	$7,361.43
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,510.96 / $1,510.96 / $13,492.50	Facility	50	$1,510.96	$1,510.96	$13,492.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.67 / $211.43 / $1,042.89	Professional		$96.67	$211.43	$1,042.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.24 / $145.61 / $145.61	Professional		$98.24	$145.61	$145.61
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $218.42 / $218.42 / $245.38	Professional	50	$218.42	$218.42	$245.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.32 / $1,635.40 / $4,887.54	Facility		$607.32	$1,635.40	$4,887.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.39 / $260.44 / $573.39	Professional		$91.39	$260.44	$573.39
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 $127.81 / $300.00 / $1,185.79	Professional		$127.81	$300.00	$1,185.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.01 / $620.40 / $1,007.88	Facility		$121.01	$620.40	$1,007.88
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $263.77 / $930.60 / $1,511.83	Facility	50	$263.77	$930.60	$1,511.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.08 / $1,080.58 / $1,286.61	Professional		$316.08	$1,080.58	$1,286.61
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $474.12 / $474.12 / $1,929.93	Professional	50	$474.12	$474.12	$1,929.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $466.16 / $633.38 / $976.31	Professional		$466.16	$633.38	$976.31
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $460.76 / $708.94 / $1,310.87	Professional		$460.76	$708.94	$1,310.87