Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.86 / $8,783.00 / $16,639.00	Facility		$799.86	$8,783.00	$16,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.51 / $729.60 / $1,075.14	Professional		$638.51	$729.60	$1,075.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $699.48 / $699.48 / $699.48	Professional		$699.48	$699.48	$699.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.00 / $4,091.61 / $6,879.85	Facility		$1,737.00	$4,091.61	$6,879.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $676.71 / $1,067.23	Professional		$600.00	$676.71	$1,067.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.21 / $890.00 / $1,965.14	Facility		$791.21	$890.00	$1,965.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.55 / $883.33 / $1,545.72	Professional		$490.55	$883.33	$1,545.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $585.74 / $798.00 / $1,548.02	Facility		$585.74	$798.00	$1,548.02
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 / $517.38 / $952.88	Professional		$75.30	$517.38	$952.88
United Facility/Professional Facility Modifier Low / Median / High Price $729.00 / $6,679.00 / $10,400.00	Facility		$729.00	$6,679.00	$10,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $532.62 / $683.93 / $1,570.00	Professional		$532.62	$683.93	$1,570.00