Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $6,548.00 / $10,931.00	Facility		$1,172.00	$6,548.00	$10,931.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.66 / $1,015.27 / $1,548.83	Professional		$835.66	$1,015.27	$1,548.83
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $96.53 / $96.53 / $145.59	Professional	AS	$96.53	$96.53	$145.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $719.96 / $1,067.94 / $1,439.93	Professional		$719.96	$1,067.94	$1,439.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,276.66 / $5,176.49 / $9,483.95	Facility		$2,276.66	$5,176.49	$9,483.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $808.45 / $1,173.00 / $1,523.14	Professional		$808.45	$1,173.00	$1,523.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,200.28 / $3,200.28 / $3,200.28	Facility		$3,200.28	$3,200.28	$3,200.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.16 / $1,156.97 / $1,495.40	Professional		$889.16	$1,156.97	$1,495.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $844.42 / $1,172.00 / $1,533.90	Facility		$844.42	$1,172.00	$1,533.90
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $201.50 / $262.69 / $308.42	Facility	80	$201.50	$262.69	$308.42
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $141.05 / $183.88 / $215.89	Facility	AS	$141.05	$183.88	$215.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,872.87 / $2,872.87 / $2,872.87	Professional		$2,872.87	$2,872.87	$2,872.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $707.61 / $1,185.81	Professional		$97.39	$707.61	$1,185.81
United Facility/Professional Facility Modifier Low / Median / High Price $5,114.00 / $13,190.00 / $19,665.00	Facility		$5,114.00	$13,190.00	$19,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $835.30 / $1,033.60 / $2,772.57	Professional		$835.30	$1,033.60	$2,772.57