Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.45 / $6,037.04 / $9,824.87	Facility		$943.45	$6,037.04	$9,824.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,508.40 / $6,955.01 / $9,308.31	Facility	50	$3,508.40	$6,955.01	$9,308.31
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.08 / $214.66 / $655.45	Facility	52	$94.08	$214.66	$655.45
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.63 / $85.86 / $262.18	Facility	53	$37.63	$85.86	$262.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $343.32 / $876.30	Professional		$143.88	$343.32	$876.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $139.72 / $377.33 / $1,028.00	Professional	50	$139.72	$377.33	$1,028.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $77.34 / $257.55	Professional		$77.34	$77.34	$257.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,945.64 / $4,372.49 / $9,578.29	Facility		$1,945.64	$4,372.49	$9,578.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $337.91 / $767.23	Professional		$143.88	$337.91	$767.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $2,106.17 / $2,706.47	Facility		$505.00	$2,106.17	$2,706.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.36 / $394.38 / $836.74	Professional		$178.36	$394.38	$836.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $188.15 / $413.00 / $978.54	Facility		$188.15	$413.00	$978.54
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $375.00 / $625.50 / $1,334.31	Facility	50	$375.00	$625.50	$1,334.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.21 / $1,863.46 / $2,252.57	Professional		$1,174.21	$1,863.46	$2,252.57
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,761.32 / $1,761.32 / $3,378.85	Professional	50	$1,761.32	$1,761.32	$3,378.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $301.77 / $411.59 / $634.79	Professional		$301.77	$411.59	$634.79
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 $429.97 / $593.52 / $1,243.18	Professional		$429.97	$593.52	$1,243.18