Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,506.75 / $5,153.41 / $8,876.00	Facility		$1,506.75	$5,153.41	$8,876.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.52 / $536.84 / $1,138.09	Professional		$410.52	$536.84	$1,138.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $471.55 / $471.55 / $785.18	Professional		$471.55	$471.55	$785.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.48 / $4,752.12 / $9,112.02	Facility		$2,143.48	$4,752.12	$9,112.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.65 / $537.00 / $924.25	Professional		$438.65	$537.00	$924.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.01 / $1,158.06 / $2,345.00	Facility		$535.01	$1,158.06	$2,345.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $53.09 / $53.09 / $53.09	Facility	AS	$53.09	$53.09	$53.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.41 / $648.62 / $1,039.43	Professional		$534.41	$648.62	$1,039.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $483.46 / $595.41 / $1,034.05	Facility		$483.46	$595.41	$1,034.05
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $81.52 / $81.52 / $138.59	Facility	AS	$81.52	$81.52	$138.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $958.76 / $958.76 / $958.76	Professional		$958.76	$958.76	$958.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $388.00 / $667.84	Professional		$69.90	$388.00	$667.84
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 $384.95 / $505.47 / $1,067.70	Professional		$384.95	$505.47	$1,067.70