Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,838.15 / $4,992.39 / $10,421.18	Facility		$2,838.15	$4,992.39	$10,421.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.72 / $475.54 / $796.91	Professional		$393.72	$475.54	$796.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $583.83 / $746.47 / $771.49	Professional		$583.83	$746.47	$771.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,063.48 / $4,943.77 / $9,195.94	Facility		$2,063.48	$4,943.77	$9,195.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.00 / $433.70 / $719.25	Professional		$344.00	$433.70	$719.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.09 / $1,965.14 / $2,345.00	Facility		$509.09	$1,965.14	$2,345.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $50.56 / $50.56 / $50.56	Facility	AS	$50.56	$50.56	$50.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.11 / $615.71 / $988.25	Professional		$506.11	$615.71	$988.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $493.31 / $569.32 / $982.54	Facility		$493.31	$569.32	$982.54
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $78.00 / $78.00 / $154.36	Facility	AS	$78.00	$78.00	$154.36
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 $69.90 / $354.29 / $612.86	Professional		$69.90	$354.29	$612.86
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 $364.74 / $479.83 / $1,016.21	Professional		$364.74	$479.83	$1,016.21