Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.16 / $3,825.24 / $7,799.00	Facility		$511.16	$3,825.24	$7,799.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,897.70 / $2,943.73 / $5,172.35	Facility	50	$1,897.70	$2,943.73	$5,172.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $407.68 / $758.40	Professional		$203.55	$407.68	$758.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $268.26 / $505.55 / $2,339.63	Professional	50	$268.26	$505.55	$2,339.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $320.12 / $364.90 / $702.32	Professional		$320.12	$364.90	$702.32
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $295.08 / $480.19 / $637.13	Professional	50	$295.08	$480.19	$637.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $2,331.56 / $5,248.45	Facility		$780.00	$2,331.56	$5,248.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.78 / $313.06 / $518.65	Professional		$187.78	$313.06	$518.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.10 / $1,255.00 / $1,512.28	Facility		$326.10	$1,255.00	$1,512.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.42 / $463.97 / $823.40	Professional		$282.42	$463.97	$823.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $226.63 / $511.16 / $792.30	Facility		$226.63	$511.16	$792.30
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $510.46 / $864.26 / $1,231.25	Facility	50	$510.46	$864.26	$1,231.25
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 $31.57 / $362.83 / $616.35	Professional		$31.57	$362.83	$616.35
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 $340.98 / $465.84 / $1,124.31	Professional		$340.98	$465.84	$1,124.31