Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.60 / $5,515.64 / $15,788.75	Facility		$639.60	$5,515.64	$15,788.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.40 / $574.49 / $924.11	Professional		$427.40	$574.49	$924.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.91 / $221.91 / $392.21	Professional		$221.91	$221.91	$392.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,308.63 / $4,877.85 / $8,588.78	Facility		$2,308.63	$4,877.85	$8,588.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.49 / $605.00 / $1,007.17	Professional		$433.49	$605.00	$1,007.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $750.98 / $2,581.96	Facility		$580.00	$750.98	$2,581.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.09 / $75.09 / $75.09	Facility	AS	$75.09	$75.09	$75.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.11 / $720.50 / $1,173.63	Professional		$525.11	$720.50	$1,173.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $503.06 / $765.69 / $1,180.93	Facility		$503.06	$765.69	$1,180.93
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $124.00 / $177.00 / $241.44	Facility	80	$124.00	$177.00	$241.44
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $86.80 / $123.90 / $168.28	Facility	AS	$86.80	$123.90	$168.28
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 / $415.99 / $767.91	Professional		$75.30	$415.99	$767.91
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 $492.50 / $667.45 / $1,430.44	Professional		$492.50	$667.45	$1,430.44