Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.33 / $3,435.00 / $7,799.00	Facility		$812.33	$3,435.00	$7,799.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,838.15 / $2,838.15 / $2,838.15	Facility	50	$2,838.15	$2,838.15	$2,838.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.11 / $730.15 / $1,550.00	Professional		$485.11	$730.15	$1,550.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $503.27 / $503.27 / $503.27	Professional		$503.27	$503.27	$503.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,502.67 / $5,761.95 / $9,815.46	Facility		$2,502.67	$5,761.95	$9,815.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.52 / $694.00 / $1,220.26	Professional		$457.52	$694.00	$1,220.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $1,774.26 / $2,279.96	Facility		$505.00	$1,774.26	$2,279.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.16 / $765.57 / $1,426.88	Professional		$514.16	$765.57	$1,426.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $485.11 / $811.69 / $1,313.87	Facility		$485.11	$811.69	$1,313.87
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $973.50 / $1,264.74 / $1,970.80	Facility	50	$973.50	$1,264.74	$1,970.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,107.11 / $1,569.80 / $1,747.48	Professional		$1,107.11	$1,569.80	$1,747.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $576.06 / $1,041.08	Professional		$37.14	$576.06	$1,041.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $10,878.00 / $16,901.00	Facility		$1,981.00	$10,878.00	$16,901.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.56 / $896.61 / $1,654.83	Professional		$659.56	$896.61	$1,654.83