Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.18 / $4,230.00 / $9,727.00	Facility		$758.18	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.91 / $770.81 / $1,180.33	Professional		$644.91	$770.81	$1,180.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,116.64 / $1,116.64 / $1,116.64	Professional		$1,116.64	$1,116.64	$1,116.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,792.31 / $9,602.04 / $16,900.34	Facility		$3,792.31	$9,602.04	$16,900.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.00 / $741.95 / $1,160.18	Professional		$482.00	$741.95	$1,160.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $780.00 / $4,769.93	Facility		$505.00	$780.00	$4,769.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.00 / $1,089.07 / $1,732.64	Professional		$769.00	$1,089.07	$1,732.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $758.18 / $1,052.06 / $1,615.11	Facility		$758.18	$1,052.06	$1,615.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,851.65 / $3,851.65 / $3,851.65	Professional		$3,851.65	$3,851.65	$3,851.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $579.81 / $1,057.10	Professional		$75.30	$579.81	$1,057.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,223.00 / $23,485.00	Facility		$2,912.00	$16,223.00	$23,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.82 / $951.76 / $1,771.86	Professional		$682.82	$951.76	$1,771.86