Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.95 / $8,783.00 / $16,639.00	Facility		$657.95	$8,783.00	$16,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.90 / $657.95 / $1,503.24	Professional		$557.90	$657.95	$1,503.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $288.33 / $777.81	Professional		$288.33	$288.33	$777.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,136.48 / $4,957.82 / $8,588.78	Facility		$2,136.48	$4,957.82	$8,588.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.41 / $661.09 / $1,109.92	Professional		$536.41	$661.09	$1,109.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $651.29 / $2,581.96	Facility		$580.00	$651.29	$2,581.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.54 / $787.18 / $1,271.48	Professional		$554.54	$787.18	$1,271.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $791.00 / $1,267.40	Facility		$637.00	$791.00	$1,267.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,144.91 / $2,144.91 / $2,144.91	Professional		$2,144.91	$2,144.91	$2,144.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $434.18 / $783.44	Professional		$75.30	$434.18	$783.44
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 $482.09 / $638.67 / $1,281.71	Professional		$482.09	$638.67	$1,281.71