Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.14 / $1,616.78 / $16,467.00	Facility		$566.14	$1,616.78	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.93 / $566.14 / $776.53	Professional		$416.93	$566.14	$776.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.86 / $223.86 / $223.86	Professional		$223.86	$223.86	$223.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,580.10 / $3,771.25 / $7,391.86	Facility		$1,580.10	$3,771.25	$7,391.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.30 / $693.00 / $1,044.90	Professional		$437.30	$693.00	$1,044.90
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 $446.14 / $665.12 / $1,268.23	Professional		$446.14	$665.12	$1,268.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.81 / $676.03 / $1,001.72	Facility		$489.81	$676.03	$1,001.72
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $864.77 / $1,014.05 / $1,641.30	Facility	50	$864.77	$1,014.05	$1,641.30
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 / $392.07 / $684.44	Professional		$69.42	$392.07	$684.44
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 $505.26 / $630.70 / $1,257.33	Professional		$505.26	$630.70	$1,257.33