Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,897.79 / $12,882.50	Facility		$562.34	$4,897.79	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $1,071.52	Professional		$457.09	$562.34	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,981.07 / $7,762.47	Facility		$1,380.38	$3,981.07	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $851.14	Professional		$501.19	$602.56	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $575.44 / $1,380.38	Facility		$371.54	$575.44	$1,380.38
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $588.84 / $588.84 / $588.84	Facility	54	$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,122.02	Professional		$537.03	$660.69	$1,122.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,258.93	Professional		$851.14	$851.14	$1,258.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $676.08 / $1,174.90	Facility		$501.19	$676.08	$1,174.90
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 $407.38 / $537.03 / $870.96	Professional		$407.38	$537.03	$870.96