Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.33 / $4,440.80 / $9,978.57	Facility		$787.33	$4,440.80	$9,978.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.56 / $674.45 / $1,023.52	Professional		$469.56	$674.45	$1,023.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.47 / $467.47 / $467.47	Professional		$467.47	$467.47	$467.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,783.91 / $6,914.81 / $12,504.35	Facility		$2,783.91	$6,914.81	$12,504.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.40 / $711.96 / $1,236.58	Professional		$480.40	$711.96	$1,236.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $780.00 / $2,581.96	Facility		$505.00	$780.00	$2,581.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.17 / $83.17 / $83.17	Facility	AS	$83.17	$83.17	$83.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.37 / $838.50 / $1,366.90	Professional		$630.37	$838.50	$1,366.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $554.71 / $865.00 / $1,338.46	Facility		$554.71	$865.00	$1,338.46
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $138.68 / $184.08 / $298.29	Facility	80	$138.68	$184.08	$298.29
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $107.24 / $128.86 / $201.04	Facility	AS	$107.24	$128.86	$201.04
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 / $511.53 / $928.95	Professional		$75.30	$511.53	$928.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,456.00 / $19,591.00	Facility		$2,155.00	$12,456.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $603.13 / $830.15 / $1,559.16	Professional		$603.13	$830.15	$1,559.16