Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.62 / $1,534.75 / $16,787.50	Facility		$506.62	$1,534.75	$16,787.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,534.76 / $1,534.76 / $1,534.76	Facility	50	$1,534.76	$1,534.76	$1,534.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.72 / $408.77 / $658.60	Professional		$207.72	$408.77	$658.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $267.36 / $518.01 / $680.00	Professional	50	$267.36	$518.01	$680.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.69 / $196.69 / $421.38	Professional		$196.69	$196.69	$421.38
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $295.04 / $295.04 / $632.08	Professional	50	$295.04	$295.04	$632.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.88 / $1,377.33 / $2,831.02	Facility		$659.88	$1,377.33	$2,831.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.75 / $305.76 / $532.07	Professional		$187.75	$305.76	$532.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.12 / $580.00 / $1,512.28	Facility		$326.12	$580.00	$1,512.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.12 / $469.36 / $832.01	Professional		$288.12	$469.36	$832.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.15 / $506.62 / $837.44	Facility		$229.15	$506.62	$837.44
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $509.59 / $879.32 / $1,256.16	Facility	50	$509.59	$879.32	$1,256.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,300.71 / $1,300.71 / $1,300.71	Professional		$1,300.71	$1,300.71	$1,300.71
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,951.06 / $1,951.06 / $1,951.06	Professional	50	$1,951.06	$1,951.06	$1,951.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $366.01 / $601.39	Professional		$34.26	$366.01	$601.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $10,257.00 / $16,249.00	Facility		$1,550.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.73 / $474.72 / $990.52	Professional		$344.73	$474.72	$990.52