Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.16 / $4,034.80 / $20,498.00	Facility		$356.16	$4,034.80	$20,498.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.98 / $696.33 / $1,197.09	Professional		$296.98	$696.33	$1,197.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $430.92 / $2,231.15 / $2,415.86	Professional	50	$430.92	$2,231.15	$2,415.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.63 / $302.63 / $302.63	Professional		$302.63	$302.63	$302.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,525.98 / $12,889.35 / $25,605.04	Facility		$3,525.98	$12,889.35	$25,605.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.60 / $550.46 / $1,365.88	Professional		$295.60	$550.46	$1,365.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.84 / $890.00 / $8,531.12	Facility		$515.84	$890.00	$8,531.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.88 / $829.73 / $1,731.61	Professional		$415.88	$829.73	$1,731.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $356.16 / $826.28 / $1,770.87	Facility		$356.16	$826.28	$1,770.87
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $807.87 / $1,549.50 / $3,085.50	Facility	50	$807.87	$1,549.50	$3,085.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7,366.99 / $7,366.99 / $7,366.99	Professional		$7,366.99	$7,366.99	$7,366.99
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $11,050.49 / $11,050.49 / $11,050.49	Professional	50	$11,050.49	$11,050.49	$11,050.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.82 / $637.75 / $1,076.38	Professional		$104.82	$637.75	$1,076.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $19,134.00 / $27,446.00	Facility		$3,028.00	$19,134.00	$27,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.10 / $959.35 / $1,868.42	Professional		$604.10	$959.35	$1,868.42