Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.41 / $2,284.80 / $14,644.00	Facility		$596.41	$2,284.80	$14,644.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,736.60 / $3,736.60 / $3,736.60	Facility	50	$3,736.60	$3,736.60	$3,736.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.76 / $584.86 / $757.94	Professional		$402.76	$584.86	$757.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $829.62 / $1,038.27 / $6,306.30	Professional	50	$829.62	$1,038.27	$6,306.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $471.62 / $471.62 / $471.62	Professional		$471.62	$471.62	$471.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,483.92 / $4,694.54 / $7,666.70	Facility		$2,483.92	$4,694.54	$7,666.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.66 / $742.00 / $1,045.00	Professional		$460.66	$742.00	$1,045.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $715.00 / $1,677.54	Facility		$715.00	$715.00	$1,677.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.75 / $662.21 / $1,302.03	Professional		$469.75	$662.21	$1,302.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $514.46 / $703.07 / $1,058.32	Facility		$514.46	$703.07	$1,058.32
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $836.52 / $1,049.64 / $1,663.50	Facility	50	$836.52	$1,049.64	$1,663.50
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 / $417.90 / $664.36	Professional		$69.42	$417.90	$664.36
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 $496.21 / $613.52 / $997.02	Professional		$496.21	$613.52	$997.02