Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,965.24 / $3,655.40 / $10,032.00	Facility		$1,965.24	$3,655.40	$10,032.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.03 / $843.73 / $1,626.61	Professional		$643.03	$843.73	$1,626.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,227.90 / $1,227.90 / $1,227.90	Professional		$1,227.90	$1,227.90	$1,227.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $5,058.89 / $9,195.94	Facility		$2,425.11	$5,058.89	$9,195.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.98 / $851.31 / $1,448.55	Professional		$685.98	$851.31	$1,448.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $839.30 / $1,965.14 / $2,345.00	Facility		$839.30	$1,965.14	$2,345.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $83.10	Facility	AS	$83.10	$83.10	$83.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.68 / $1,019.11 / $1,633.19	Professional		$839.68	$1,019.11	$1,633.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $815.28 / $941.93 / $1,623.51	Facility		$815.28	$941.93	$1,623.51
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $128.88 / $128.88 / $217.24	Facility	AS	$128.88	$128.88	$217.24
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 $75.30 / $543.80 / $1,013.74	Professional		$75.30	$543.80	$1,013.74
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 $605.00 / $795.49 / $1,671.87	Professional		$605.00	$795.49	$1,671.87