Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $8,317.64 / $16,595.87	Facility		$4,073.80	$8,317.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $4,365.16	Professional		$1,202.26	$1,621.81	$4,365.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $2,511.89	Professional		$616.60	$616.60	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,677.35 / $9,120.11	Facility		$2,187.76	$4,677.35	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,884.03	Professional		$1,318.26	$1,862.09	$2,884.03
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 $1,288.25 / $1,659.59 / $2,238.72	Professional		$1,288.25	$1,659.59	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,238.72	Facility		$1,318.26	$1,698.24	$2,238.72
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 $1,122.02 / $1,445.44 / $2,454.71	Professional		$1,122.02	$1,445.44	$2,454.71