Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $4,466.84 / $9,332.54	Facility		$302.00	$4,466.84	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $602.56	Professional		$190.55	$309.03	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $288.40	Professional		$87.10	$104.71	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,096.48 / $1,862.09	Facility		$602.56	$1,096.48	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $467.74	Professional		$194.98	$288.40	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $331.13 / $457.09	Professional		$218.78	$331.13	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $323.59 / $467.74	Facility		$204.17	$323.59	$467.74
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 $190.55 / $288.40 / $489.78	Professional		$190.55	$288.40	$489.78