Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.57 / $3,776.00 / $9,727.00	Facility		$377.57	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.63 / $549.45 / $1,243.38	Professional		$326.63	$549.45	$1,243.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.30 / $308.66 / $339.53	Professional		$141.30	$308.66	$339.53
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $446.76 / $446.76 / $462.99	Professional	50	$446.76	$446.76	$462.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.51 / $1,279.67 / $2,128.46	Facility		$687.51	$1,279.67	$2,128.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.93 / $954.53 / $1,484.39	Professional		$293.93	$954.53	$1,484.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.89 / $281.89 / $281.89	Facility		$281.89	$281.89	$281.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.54 / $739.73 / $1,281.77	Professional		$362.54	$739.73	$1,281.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $320.43 / $595.54 / $1,385.27	Facility		$320.43	$595.54	$1,385.27
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $470.69 / $1,336.50 / $2,117.10	Facility	50	$470.69	$1,336.50	$2,117.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $280.45 / $280.45 / $280.45	Professional		$280.45	$280.45	$280.45
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $420.68 / $420.68 / $420.68	Professional	50	$420.68	$420.68	$420.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $259.03 / $353.38	Professional		$30.34	$259.03	$353.38
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 $303.62 / $455.95 / $1,334.25	Professional		$303.62	$455.95	$1,334.25