Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.95 / $6,548.00 / $14,548.88	Facility		$831.95	$6,548.00	$14,548.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.20 / $734.11 / $1,250.89	Professional		$626.20	$734.11	$1,250.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $602.51 / $779.71 / $1,268.81	Professional		$602.51	$779.71	$1,268.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,302.80 / $3,083.63 / $6,158.44	Facility		$1,302.80	$3,083.63	$6,158.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.29 / $853.00 / $1,188.00	Professional		$642.29	$853.00	$1,188.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $580.00 / $1,604.11	Facility		$580.00	$580.00	$1,604.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.79 / $812.50 / $1,089.66	Professional		$638.79	$812.50	$1,089.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $632.38 / $831.95 / $1,174.26	Facility		$632.38	$831.95	$1,174.26
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 $65.88 / $518.64 / $821.19	Professional		$65.88	$518.64	$821.19
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.25 / $737.22 / $1,235.85	Professional		$553.25	$737.22	$1,235.85