Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,897.79 / $9,772.37	Facility		$1,412.54	$4,897.79	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,318.26	Professional		$467.74	$616.60	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $741.31	Professional		$467.74	$562.34	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,905.46 / $3,467.37	Facility		$954.99	$1,905.46	$3,467.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,071.52	Professional		$478.63	$776.25	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $891.25 / $1,949.84	Facility		$776.25	$891.25	$1,949.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,174.90	Professional		$537.03	$707.95	$1,174.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,202.26	Professional		$851.14	$851.14	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $676.08 / $1,148.15	Facility		$512.86	$676.08	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $7,943.28	Facility		$1,096.48	$3,890.45	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $912.01	Professional		$426.58	$537.03	$912.01