Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.92 / $5,515.65 / $9,863.00	Facility		$441.92	$5,515.65	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.04 / $368.70 / $632.69	Professional		$187.04	$368.70	$632.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $91.83 / $149.43	Professional		$79.30	$91.83	$149.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,250.61 / $6,835.65 / $12,097.16	Facility		$2,250.61	$6,835.65	$12,097.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.31 / $417.00 / $692.24	Professional		$175.31	$417.00	$692.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.94 / $580.00 / $7,890.76	Facility		$305.94	$580.00	$7,890.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $30.59 / $30.59 / $30.59	Facility	AS	$30.59	$30.59	$30.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.09 / $499.31 / $766.64	Professional		$242.09	$499.31	$766.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $226.15 / $466.37 / $796.00	Facility		$226.15	$466.37	$796.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $64.31 / $110.48 / $177.03	Facility	80	$64.31	$110.48	$177.03
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $47.74 / $71.90 / $113.02	Facility	AS	$47.74	$71.90	$113.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,154.33 / $6,154.33 / $6,154.33	Professional		$6,154.33	$6,154.33	$6,154.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $332.79 / $446.14 / $698.43	Professional		$332.79	$446.14	$698.43
United Facility/Professional Facility Modifier Low / Median / High Price $5,114.00 / $12,456.00 / $22,523.00	Facility		$5,114.00	$12,456.00	$22,523.00
United Facility/Professional Professional Modifier Low / Median / High Price $328.00 / $446.34 / $896.37	Professional		$328.00	$446.34	$896.37