Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.60 / $4,751.00 / $9,062.00	Facility		$1,259.60	$4,751.00	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.61 / $549.91 / $931.64	Professional		$469.61	$549.91	$931.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $679.24 / $868.45 / $868.45	Professional		$679.24	$868.45	$868.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,054.95 / $2,074.00 / $3,520.93	Facility		$1,054.95	$2,074.00	$3,520.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.17 / $788.00 / $1,385.54	Professional		$485.17	$788.00	$1,385.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.09 / $780.00 / $1,965.14	Facility		$591.09	$780.00	$1,965.14
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $58.83 / $58.83 / $58.83	Facility	AS	$58.83	$58.83	$58.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.41 / $719.00 / $1,155.33	Professional		$590.41	$719.00	$1,155.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $572.09 / $660.63 / $1,146.81	Facility		$572.09	$660.63	$1,146.81
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $90.75 / $90.75 / $180.55	Facility	AS	$90.75	$90.75	$180.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,606.69 / $1,606.69 / $1,606.69	Professional		$1,606.69	$1,606.69	$1,606.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $380.39 / $689.36	Professional		$75.30	$380.39	$689.36
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.49 / $563.88 / $1,178.53	Professional		$426.49	$563.88	$1,178.53