Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.26 / $8,783.00 / $16,639.00	Facility		$1,294.26	$8,783.00	$16,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.22 / $1,106.19 / $1,484.42	Professional		$738.22	$1,106.19	$1,484.42
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,150.17 / $1,150.17 / $1,150.17	Professional	50	$1,150.17	$1,150.17	$1,150.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,175.92 / $4,428.83 / $7,666.70	Facility		$2,175.92	$4,428.83	$7,666.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.41 / $1,075.55 / $1,839.18	Professional		$930.41	$1,075.55	$1,839.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $580.00 / $2,594.85	Facility		$580.00	$580.00	$2,594.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.93 / $1,141.00 / $2,438.09	Professional		$767.93	$1,141.00	$2,438.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $833.00 / $1,126.85 / $1,747.25	Facility		$833.00	$1,126.85	$1,747.25
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,249.50 / $1,624.14 / $2,488.31	Facility	50	$1,249.50	$1,624.14	$2,488.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $755.00 / $755.00 / $2,174.76	Professional		$755.00	$755.00	$2,174.76
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $3,262.14 / $3,262.14 / $3,262.14	Professional	50	$3,262.14	$3,262.14	$3,262.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $711.52 / $1,108.61	Professional		$103.50	$711.52	$1,108.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $13,190.00 / $19,665.00	Facility		$2,155.00	$13,190.00	$19,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $754.37 / $976.61 / $1,552.96	Professional		$754.37	$976.61	$1,552.96