Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,043.79 / $8,027.02 / $15,629.60	Facility		$4,043.79	$8,027.02	$15,629.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.49 / $1,468.24 / $2,680.96	Professional		$1,209.49	$1,468.24	$2,680.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.77 / $397.55 / $1,492.20	Professional		$198.77	$397.55	$1,492.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,082.53 / $4,749.92 / $8,981.33	Facility		$2,082.53	$4,749.92	$8,981.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,388.09 / $1,891.00 / $2,513.52	Professional		$1,388.09	$1,891.00	$2,513.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $580.00 / $3,200.28	Facility		$580.00	$580.00	$3,200.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.19 / $1,643.42 / $2,090.79	Professional		$1,275.19	$1,643.42	$2,090.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,380.43 / $1,720.19 / $2,275.00	Facility		$1,380.43	$1,720.19	$2,275.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $280.89 / $360.40 / $529.95	Facility	80	$280.89	$360.40	$529.95
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $196.63 / $252.28 / $370.96	Facility	AS	$196.63	$252.28	$370.96
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 $131.76 / $997.19 / $1,623.19	Professional		$131.76	$997.19	$1,623.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,798.00 / $19,665.00	Facility		$2,155.00	$12,798.00	$19,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,101.71 / $1,456.59 / $2,549.03	Professional		$1,101.71	$1,456.59	$2,549.03