Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.73 / $5,621.00 / $9,870.00	Facility		$53.73	$5,621.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.73 / $233.36 / $2,872.98	Professional		$53.73	$233.36	$2,872.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5,340.93 / $5,340.93 / $5,340.93	Professional		$5,340.93	$5,340.93	$5,340.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.44 / $2,807.45 / $4,720.53	Facility		$524.44	$2,807.45	$4,720.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.87 / $3,389.00 / $5,756.23	Professional		$52.87	$3,389.00	$5,756.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,604.11 / $1,604.11 / $1,604.11	Facility		$1,604.11	$1,604.11	$1,604.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,250.93 / $4,250.93 / $4,250.93	Professional		$4,250.93	$4,250.93	$4,250.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.73 / $2,872.98 / $3,816.52	Facility		$53.73	$2,872.98	$3,816.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,397.41 / $1,397.41 / $1,397.41	Professional		$1,397.41	$1,397.41	$1,397.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,545.94 / $5,716.44 / $8,022.25	Professional		$4,545.94	$5,716.44	$8,022.25
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,438.21 / $1,890.21 / $4,132.45	Professional		$1,438.21	$1,890.21	$4,132.45