Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $6,025.60 / $16,595.87	Facility		$691.83	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $1,258.93	Professional		$426.58	$549.54	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $537.03 / $831.76	Professional		$245.47	$537.03	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,630.78 / $6,606.93	Facility		$1,778.28	$3,630.78	$6,606.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $870.96	Professional		$457.09	$562.34	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,621.81	Facility		$501.19	$501.19	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $851.14	Professional		$467.74	$645.65	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $630.96 / $912.01	Facility		$478.63	$630.96	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,760.83 / $10,000.00	Facility		$1,698.24	$6,760.83	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $977.24	Professional		$416.87	$549.54	$977.24