Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.58 / $4,995.14 / $10,454.15	Facility		$421.58	$4,995.14	$10,454.15
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,256.50 / $1,256.50 / $2,838.16	Facility	50	$1,256.50	$1,256.50	$2,838.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.38 / $421.57 / $1,031.21	Professional		$281.38	$421.57	$1,031.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $639.94 / $639.94 / $2,348.40	Professional	50	$639.94	$639.94	$2,348.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $286.64 / $286.64 / $286.64	Professional		$286.64	$286.64	$286.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,987.22 / $5,615.13 / $9,815.46	Facility		$1,987.22	$5,615.13	$9,815.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.64 / $349.92 / $497.60	Professional		$266.64	$349.92	$497.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.58 / $262.58 / $337.42	Facility		$262.58	$262.58	$337.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.14 / $444.95 / $773.88	Professional		$316.14	$444.95	$773.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $317.55 / $472.44 / $696.80	Facility		$317.55	$472.44	$696.80
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $553.76 / $792.00 / $1,030.16	Facility	50	$553.76	$792.00	$1,030.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $232.31 / $247.28 / $344.84	Professional		$232.31	$247.28	$344.84
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $370.92 / $370.92 / $517.26	Professional	50	$370.92	$370.92	$517.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $337.14 / $577.90	Professional		$32.47	$337.14	$577.90
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.16 / $497.56 / $892.96	Professional		$349.16	$497.56	$892.96