Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $8,709.64 / $16,595.87	Facility		$954.99	$8,709.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,000.00	Professional		$630.96	$794.33	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $954.99	Professional		$302.00	$302.00	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,897.79 / $9,120.11	Facility		$2,818.38	$4,897.79	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $1,202.26	Professional		$512.86	$831.76	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $3,235.94	Facility		$575.44	$575.44	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,230.27	Professional		$691.83	$891.25	$1,230.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $891.25 / $1,288.25	Facility		$707.95	$891.25	$1,288.25
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 $5,128.61 / $13,182.57 / $23,442.29	Facility		$5,128.61	$13,182.57	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,348.96	Professional		$616.60	$794.33	$1,348.96