Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $5,495.41 / $10,964.78	Facility		$489.78	$5,495.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $1,096.48	Professional		$316.23	$512.86	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $316.23 / $457.09	Professional		$177.83	$316.23	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,265.80 / $8,709.64	Facility		$1,513.56	$4,265.80	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $758.58	Professional		$302.00	$416.87	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $575.44 / $1,148.15	Facility		$501.19	$575.44	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $1,000.00	Professional		$363.08	$575.44	$1,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,288.25	Professional		$1,023.29	$1,023.29	$1,288.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $588.84 / $1,122.02	Facility		$338.84	$588.84	$1,122.02
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 $1,479.11 / $6,760.83 / $10,000.00	Facility		$1,479.11	$6,760.83	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $478.63 / $870.96	Professional		$288.40	$478.63	$870.96