Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.29 / $4,230.00 / $9,727.00	Facility		$914.29	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.11 / $932.58 / $1,546.02	Professional		$795.11	$932.58	$1,546.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $921.23 / $921.23 / $921.23	Professional		$921.23	$921.23	$921.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,799.77 / $3,823.68 / $6,362.15	Facility		$1,799.77	$3,823.68	$6,362.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.27 / $921.23 / $1,259.78	Professional		$815.27	$921.23	$1,259.78
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 $811.79 / $1,021.79 / $1,398.19	Professional		$811.79	$1,021.79	$1,398.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $793.01 / $1,004.00 / $1,442.25	Facility		$793.01	$1,004.00	$1,442.25
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 $97.39 / $641.03 / $1,069.95	Professional		$97.39	$641.03	$1,069.95
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 $719.99 / $959.20 / $1,678.60	Professional		$719.99	$959.20	$1,678.60