Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.17 / $11,018.00 / $18,276.00	Facility		$943.17	$11,018.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.17 / $943.17 / $1,159.66	Professional		$943.17	$943.17	$1,159.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,784.39 / $8,564.44 / $13,640.85	Facility		$3,784.39	$8,564.44	$13,640.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,759.24 / $4,759.24 / $6,115.71	Facility		$4,759.24	$4,759.24	$6,115.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $943.17 / $1,161.98 / $1,995.71	Facility		$943.17	$1,161.98	$1,995.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,478.48 / $3,478.48 / $3,478.48	Professional		$3,478.48	$3,478.48	$3,478.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,114.00 / $13,190.00 / $23,893.00	Facility		$5,114.00	$13,190.00	$23,893.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,145.90 / $1,801.31 / $3,289.36	Professional		$1,145.90	$1,801.31	$3,289.36