Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $9,120.11 / $16,595.87	Facility		$1,778.28	$9,120.11	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,288.25	Professional		$630.96	$741.31	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,165.95 / $11,481.54	Facility		$2,570.40	$6,165.95	$11,481.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $1,023.29	Professional		$630.96	$707.95	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $2,570.40	Facility		$575.44	$891.25	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,513.56	Professional		$660.69	$912.01	$1,513.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,698.24	Professional		$1,230.27	$1,230.27	$1,698.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $954.99 / $1,548.82	Facility		$691.83	$954.99	$1,548.82
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 $2,344.23 / $13,182.57 / $23,442.29	Facility		$2,344.23	$13,182.57	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $1,202.26	Professional		$562.34	$707.95	$1,202.26