Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.83 / $1,423.86 / $9,727.00	Facility		$267.83	$1,423.86	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.28 / $406.02 / $626.75	Professional		$232.28	$406.02	$626.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $889.85 / $889.85 / $905.31	Professional	50	$889.85	$889.85	$905.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.01 / $219.72 / $241.69	Professional		$100.01	$219.72	$241.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.19 / $1,279.67 / $2,128.46	Facility		$738.19	$1,279.67	$2,128.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.04 / $603.00 / $879.13	Professional		$208.04	$603.00	$879.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.47 / $237.47 / $237.47	Facility		$237.47	$237.47	$237.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.41 / $542.46 / $754.13	Professional		$368.41	$542.46	$754.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $232.28 / $418.00 / $818.42	Facility		$232.28	$418.00	$818.42
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $334.91 / $792.00 / $1,489.50	Facility	50	$334.91	$792.00	$1,489.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $236.25 / $236.25 / $236.25	Professional		$236.25	$236.25	$236.25
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $354.38 / $354.38 / $354.38	Professional	50	$354.38	$354.38	$354.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.47 / $224.35 / $281.13	Professional		$180.47	$224.35	$281.13
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.40 / $528.76 / $834.36	Professional		$386.40	$528.76	$834.36