Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.99 / $9,062.00 / $18,276.00	Facility		$882.99	$9,062.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.39 / $792.85 / $1,352.12	Professional		$666.39	$792.85	$1,352.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,225.28 / $1,225.28 / $1,225.28	Professional		$1,225.28	$1,225.28	$1,225.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,730.28 / $18,669.81 / $34,857.08	Facility		$6,730.28	$18,669.81	$34,857.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.75 / $1,011.00 / $1,777.64	Professional		$720.75	$1,011.00	$1,777.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $877.89 / $5,740.31	Facility		$715.00	$877.89	$5,740.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.61 / $1,040.00 / $1,706.38	Professional		$858.61	$1,040.00	$1,706.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $850.62 / $1,068.42 / $1,687.58	Facility		$850.62	$1,068.42	$1,687.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,727.33 / $4,727.33 / $4,727.33	Professional		$4,727.33	$4,727.33	$4,727.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $555.80 / $1,045.93	Professional		$75.30	$555.80	$1,045.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,637.00 / $15,451.00 / $23,485.00	Facility		$3,637.00	$15,451.00	$23,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.92 / $847.30 / $1,745.81	Professional		$638.92	$847.30	$1,745.81