Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.72 / $2,858.80 / $9,822.00	Facility		$204.72	$2,858.80	$9,822.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,871.45 / $4,357.50 / $9,499.34	Facility	50	$1,871.45	$4,357.50	$9,499.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $175.46 / $489.43	Professional		$139.41	$175.46	$489.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $250.74 / $475.66 / $1,332.38	Professional	50	$250.74	$475.66	$1,332.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $162.79 / $170.19	Professional		$85.09	$162.79	$170.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $238.63 / $238.63 / $397.35	Professional	50	$238.63	$238.63	$397.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,171.14 / $2,768.86 / $6,203.52	Facility		$1,171.14	$2,768.86	$6,203.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.99 / $211.00 / $327.00	Professional		$147.99	$211.00	$327.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $836.43 / $1,074.83	Facility		$580.00	$836.43	$1,074.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.63 / $214.70 / $409.34	Professional		$173.63	$214.70	$409.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $223.27 / $353.10	Facility		$150.97	$223.27	$353.10
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $298.77 / $339.00 / $529.65	Facility	50	$298.77	$339.00	$529.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $705.80 / $740.04 / $829.05	Professional		$705.80	$740.04	$829.05
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,058.70 / $1,058.70 / $1,243.57	Professional	50	$1,058.70	$1,058.70	$1,243.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.11 / $172.55 / $262.01	Professional		$125.11	$172.55	$262.01
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.75 / $217.23 / $372.81	Professional		$148.75	$217.23	$372.81