Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.05 / $2,284.80 / $16,467.00	Facility		$536.05	$2,284.80	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.45 / $536.05 / $714.98	Professional		$413.45	$536.05	$714.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $279.00 / $279.00 / $866.10	Professional	50	$279.00	$279.00	$866.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $542.13 / $542.13 / $542.13	Professional		$542.13	$542.13	$542.13
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $969.57 / $969.57 / $969.57	Professional	50	$969.57	$969.57	$969.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,277.27 / $4,760.14 / $7,666.70	Facility		$2,277.27	$4,760.14	$7,666.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.07 / $590.00 / $858.67	Professional		$413.07	$590.00	$858.67
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 $408.96 / $569.23 / $1,089.58	Professional		$408.96	$569.23	$1,089.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $454.80 / $609.16 / $909.56	Facility		$454.80	$609.16	$909.56
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $750.32 / $869.84 / $1,424.07	Facility	50	$750.32	$869.84	$1,424.07
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 / $355.13 / $547.69	Professional		$69.42	$355.13	$547.69
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 $422.10 / $527.63 / $1,402.67	Professional		$422.10	$527.63	$1,402.67