Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.49 / $4,357.50 / $7,799.00	Facility		$938.49	$4,357.50	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.99 / $849.48 / $1,395.55	Professional		$646.99	$849.48	$1,395.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,185.27 / $1,185.27 / $1,185.27	Professional		$1,185.27	$1,185.27	$1,185.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,276.66 / $5,074.05 / $8,981.33	Facility		$2,276.66	$5,074.05	$8,981.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.16 / $702.49 / $1,086.42	Professional		$662.16	$702.49	$1,086.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $1,604.11	Facility		$505.00	$505.00	$1,604.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.44 / $904.51 / $1,206.46	Professional		$661.44	$904.51	$1,206.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $665.35 / $895.00 / $1,262.08	Facility		$665.35	$895.00	$1,262.08
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 / $566.18 / $937.93	Professional		$65.88	$566.18	$937.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,346.36 / $6,172.00 / $9,900.00	Facility		$1,346.36	$6,172.00	$9,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $627.53 / $827.12 / $1,447.46	Professional		$627.53	$827.12	$1,447.46