Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $6,456.54 / $15,135.61	Facility		$1,318.26	$6,456.54	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,202.26	Professional		$467.74	$691.83	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $812.83	Professional		$407.38	$407.38	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $6,760.83 / $12,882.50	Facility		$2,754.23	$6,760.83	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,047.13	Professional		$467.74	$707.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $2,570.40	Facility		$501.19	$776.25	$2,570.40
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	AS	$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,318.26	Professional		$588.84	$831.76	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,659.59	Professional		$954.99	$954.99	$1,659.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $831.76 / $1,445.44	Facility		$524.81	$831.76	$1,445.44
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 $2,754.23 / $13,182.57 / $23,442.29	Facility		$2,754.23	$13,182.57	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $1,148.15	Professional		$436.52	$707.95	$1,148.15