Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.84 / $8,876.00 / $16,467.00	Facility		$485.84	$8,876.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.68 / $442.43 / $977.27	Professional		$377.68	$442.43	$977.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $355.49 / $355.49 / $710.99	Professional		$355.49	$355.49	$710.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,210.66 / $5,058.89 / $9,159.65	Facility		$2,210.66	$5,058.89	$9,159.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.20 / $486.15 / $847.70	Professional		$397.20	$486.15	$847.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.32 / $1,158.06 / $2,345.00	Facility		$484.32	$1,158.06	$2,345.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.13 / $48.13 / $48.13	Facility	AS	$48.13	$48.13	$48.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.02 / $586.59 / $938.88	Professional		$481.02	$586.59	$938.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $466.89 / $537.96 / $932.63	Facility		$466.89	$537.96	$932.63
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $73.70 / $73.70 / $124.15	Facility	AS	$73.70	$73.70	$124.15
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 / $360.46 / $616.24	Professional		$69.90	$360.46	$616.24
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 $346.84 / $461.68 / $965.80	Professional		$346.84	$461.68	$965.80