Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.51 / $2,838.15 / $9,062.00	Facility		$392.51	$2,838.15	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.43 / $437.25 / $710.42	Professional		$305.43	$437.25	$710.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $441.76 / $564.82 / $564.82	Professional		$441.76	$564.82	$564.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,161.81 / $5,135.38 / $9,268.49	Facility		$2,161.81	$5,135.38	$9,268.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.32 / $446.34 / $761.49	Professional		$331.32	$446.34	$761.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $780.00 / $1,965.14	Facility		$574.91	$780.00	$1,965.14
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $57.49	Facility	AS	$57.49	$57.49	$57.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.31 / $621.07 / $967.21	Professional		$412.31	$621.07	$967.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $392.51 / $597.51 / $929.02	Facility		$392.51	$597.51	$929.02
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $68.69 / $85.00 / $140.47	Facility	AS	$68.69	$85.00	$140.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,606.69 / $1,606.69 / $1,606.69	Professional		$1,606.69	$1,606.69	$1,606.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $255.64 / $602.75	Professional		$69.90	$255.64	$602.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $10,878.00 / $16,772.00	Facility		$1,550.00	$10,878.00	$16,772.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.86 / $574.13 / $1,003.32	Professional		$412.86	$574.13	$1,003.32