Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.95 / $5,866.00 / $16,467.00	Facility		$1,153.95	$5,866.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.24 / $1,052.36 / $1,385.30	Professional		$912.24	$1,052.36	$1,385.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,002.08 / $1,002.08 / $1,002.08	Professional		$1,002.08	$1,002.08	$1,002.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,063.48 / $5,350.19 / $9,222.64	Facility		$2,063.48	$5,350.19	$9,222.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $932.17 / $1,584.00 / $2,785.15	Professional		$932.17	$1,584.00	$2,785.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.59 / $1,965.14 / $2,345.00	Facility		$1,140.59	$1,965.14	$2,345.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.96 / $112.96 / $112.96	Facility	AS	$112.96	$112.96	$112.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,157.58 / $1,408.01 / $2,252.96	Professional		$1,157.58	$1,408.01	$2,252.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,106.49 / $1,297.31 / $2,222.90	Facility		$1,106.49	$1,297.31	$2,222.90
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $181.51 / $181.51 / $305.67	Facility	AS	$181.51	$181.51	$305.67
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 $113.57 / $721.83 / $1,325.22	Professional		$113.57	$721.83	$1,325.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $10,257.00 / $16,249.00	Facility		$1,550.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $839.88 / $1,175.83 / $2,647.62	Professional		$839.88	$1,175.83	$2,647.62