Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $4,168.69 / $9,120.11	Facility		$512.86	$4,168.69	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,862.09 / $3,311.31 / $5,128.61	Facility	50	$1,862.09	$3,311.31	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $407.38 / $1,096.48	Professional		$190.55	$407.38	$1,096.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $269.15 / $512.86 / $2,344.23	Professional	50	$269.15	$512.86	$2,344.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $371.54 / $478.63	Professional		$169.82	$371.54	$478.63
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $407.38 / $794.33	Professional	50	$263.03	$407.38	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,041.74 / $5,128.61	Facility		$794.33	$2,041.74	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $537.03	Professional		$173.78	$302.00	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,258.93 / $1,513.56	Facility		$323.59	$1,258.93	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $794.33	Professional		$269.15	$446.68	$794.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $436.52 / $794.33	Facility		$208.93	$436.52	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,964.78 / $16,982.44	Facility		$1,995.26	$10,964.78	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $691.83	Professional		$194.98	$363.08	$691.83