Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.61 / $4,989.76 / $11,728.22	Facility		$979.61	$4,989.76	$11,728.22
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,190.92 / $5,190.92 / $5,190.92	Facility	50	$5,190.92	$5,190.92	$5,190.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.01 / $470.10 / $2,187.00	Professional		$343.01	$470.10	$2,187.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $351.34 / $351.34 / $351.34	Professional		$351.34	$351.34	$351.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,069.67 / $4,944.29 / $10,035.11	Facility		$2,069.67	$4,944.29	$10,035.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.83 / $512.00 / $961.44	Professional		$326.83	$512.00	$961.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,106.17 / $2,106.17 / $2,706.47	Facility		$2,106.17	$2,106.17	$2,706.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.17 / $504.42 / $918.25	Professional		$391.17	$504.42	$918.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $529.13 / $1,308.00	Facility		$358.00	$529.13	$1,308.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $750.35 / $1,300.83 / $1,962.00	Facility	50	$750.35	$1,300.83	$1,962.00
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
Molina Facility/Professional Professional Modifier Low / Median / High Price $310.33 / $418.20 / $650.66	Professional		$310.33	$418.20	$650.66
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 $339.66 / $528.92 / $927.50	Professional		$339.66	$528.92	$927.50