Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.94 / $1,715.92 / $16,467.00	Facility		$627.94	$1,715.92	$16,467.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,373.20 / $6,179.60 / $8,990.10	Facility	50	$5,373.20	$6,179.60	$8,990.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.85 / $628.72 / $822.67	Professional		$484.85	$628.72	$822.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $346.48 / $444.80 / $1,500.11	Professional	50	$346.48	$444.80	$1,500.11
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $346.32 / $346.32 / $346.32	Professional	50	$346.32	$346.32	$346.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.44 / $6,277.56 / $10,492.39	Facility		$2,951.44	$6,277.56	$10,492.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $577.20 / $909.52	Professional		$435.00	$577.20	$909.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,677.54 / $1,677.54 / $1,677.54	Facility		$1,677.54	$1,677.54	$1,677.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.01 / $700.89 / $1,406.69	Professional		$479.01	$700.89	$1,406.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $498.00 / $690.73 / $1,043.73	Facility		$498.00	$690.73	$1,043.73
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $753.00 / $1,070.36 / $1,705.27	Facility	50	$753.00	$1,070.36	$1,705.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.00 / $933.00 / $1,376.31	Professional		$933.00	$933.00	$1,376.31
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $2,064.46 / $2,064.46 / $2,064.46	Professional	50	$2,064.46	$2,064.46	$2,064.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $422.31 / $702.41	Professional		$69.42	$422.31	$702.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $10,257.00 / $16,249.00	Facility		$1,258.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.54 / $660.44 / $1,071.46	Professional		$505.54	$660.44	$1,071.46