Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.32 / $4,916.14 / $11,674.00	Facility		$503.32	$4,916.14	$11,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.16 / $503.32 / $1,167.84	Professional		$412.16	$503.32	$1,167.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $610.10 / $610.10 / $759.74	Professional		$610.10	$610.10	$759.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.00 / $5,005.09 / $9,195.94	Facility		$2,187.00	$5,005.09	$9,195.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.67 / $581.00 / $1,029.32	Professional		$410.67	$581.00	$1,029.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,529.27 / $1,529.27 / $1,965.14	Facility		$1,529.27	$1,529.27	$1,965.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.17 / $587.24 / $1,125.33	Professional		$494.17	$587.24	$1,125.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $440.26 / $557.67 / $966.95	Facility		$440.26	$557.67	$966.95
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $76.44 / $76.44 / $110.95	Facility	AS	$76.44	$76.44	$110.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,021.80 / $1,353.04 / $1,606.69	Professional		$1,021.80	$1,353.04	$1,606.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $356.04 / $615.74	Professional		$71.48	$356.04	$615.74
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.01 / $597.27 / $1,222.09	Professional		$418.01	$597.27	$1,222.09