Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.09 / $3,080.00 / $16,467.00	Facility		$739.09	$3,080.00	$16,467.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,750.00 / $3,080.00 / $6,179.60	Facility	50	$1,750.00	$3,080.00	$6,179.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.87 / $716.82 / $970.68	Professional		$488.87	$716.82	$970.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $814.65 / $1,258.43 / $1,533.89	Professional	50	$814.65	$1,258.43	$1,533.89
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $814.65 / $814.65 / $1,002.03	Professional	50	$814.65	$814.65	$1,002.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,602.06 / $3,834.31 / $7,391.86	Facility		$1,602.06	$3,834.31	$7,391.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.16 / $742.69 / $1,273.79	Professional		$576.16	$742.69	$1,273.79
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 $540.94 / $804.13 / $1,596.06	Professional		$540.94	$804.13	$1,596.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $627.41 / $841.41 / $1,223.00	Facility		$627.41	$841.41	$1,223.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,026.61 / $1,262.11 / $1,952.52	Facility	50	$1,026.61	$1,262.11	$1,952.52
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 / $488.61 / $806.28	Professional		$69.42	$488.61	$806.28
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 $572.63 / $754.99 / $1,233.93	Professional		$572.63	$754.99	$1,233.93