Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,606.93 / $16,595.87	Facility		$2,570.40	$6,606.93	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,949.84	Professional		$676.08	$851.14	$1,949.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $1,230.27	Professional		$676.08	$741.31	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,128.61 / $9,549.93	Facility		$2,137.96	$5,128.61	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $1,230.27	Professional		$691.83	$851.14	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $2,344.23	Facility		$1,258.93	$1,949.84	$2,344.23
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	AS	$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,659.59	Professional		$758.58	$1,000.00	$1,659.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,698.24	Professional		$1,258.93	$1,258.93	$1,698.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $977.24 / $1,621.81	Facility		$724.44	$977.24	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $11,220.18 / $16,982.44	Facility		$1,995.26	$11,220.18	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,288.25	Professional		$602.56	$776.25	$1,288.25