Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.64 / $4,034.80 / $13,335.00	Facility		$600.64	$4,034.80	$13,335.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.93 / $477.51 / $822.58	Professional		$336.93	$477.51	$822.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $339.68 / $339.68 / $339.68	Professional		$339.68	$339.68	$339.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,036.70 / $4,877.85 / $8,525.77	Facility		$2,036.70	$4,877.85	$8,525.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.86 / $482.58 / $713.49	Professional		$371.86	$482.58	$713.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $647.41 / $1,370.63	Facility		$580.00	$647.41	$1,370.63
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.73 / $64.73 / $64.73	Facility	AS	$64.73	$64.73	$64.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.50 / $573.37 / $1,051.60	Professional		$384.50	$573.37	$1,051.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $420.16 / $583.23 / $964.27	Facility		$420.16	$583.23	$964.27
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $69.56 / $82.74 / $135.00	Facility	AS	$69.56	$82.74	$135.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,168.83 / $1,168.83 / $1,168.83	Professional		$1,168.83	$1,168.83	$1,168.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $349.69 / $698.60	Professional		$36.68	$349.69	$698.60
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 $421.84 / $547.84 / $1,189.06	Professional		$421.84	$547.84	$1,189.06