Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.14 / $2,838.15 / $13,132.21	Facility		$466.14	$2,838.15	$13,132.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,284.80 / $2,284.80 / $2,284.80	Facility	50	$2,284.80	$2,284.80	$2,284.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.86 / $350.95 / $524.13	Professional		$211.86	$350.95	$524.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $386.70 / $386.70 / $386.70	Professional	50	$386.70	$386.70	$386.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $101.23 / $217.63	Professional		$101.23	$101.23	$217.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,175.92 / $4,428.83 / $7,616.08	Facility		$2,175.92	$4,428.83	$7,616.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $291.93 / $527.22	Professional		$211.00	$291.93	$527.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $1,677.54	Facility		$505.00	$505.00	$1,677.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.36 / $423.52 / $688.02	Professional		$242.36	$423.52	$688.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $227.77 / $417.00 / $686.00	Facility		$227.77	$417.00	$686.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $382.50 / $625.50 / $1,128.00	Facility	50	$382.50	$625.50	$1,128.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $660.00 / $1,376.31	Professional		$660.00	$660.00	$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 $31.82 / $286.16 / $413.62	Professional		$31.82	$286.16	$413.62
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 $338.67 / $418.35 / $693.78	Professional		$338.67	$418.35	$693.78