Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.22 / $6,179.59 / $20,245.02	Facility		$1,410.22	$6,179.59	$20,245.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.09 / $733.70 / $1,410.22	Professional		$474.09	$733.70	$1,410.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $521.07 / $521.07 / $867.65	Professional		$521.07	$521.07	$867.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,703.71 / $5,247.56 / $11,825.95	Facility		$1,703.71	$5,247.56	$11,825.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.24 / $917.00 / $1,549.27	Professional		$514.24	$917.00	$1,549.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $882.10 / $2,581.96	Facility		$580.00	$882.10	$2,581.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $88.21 / $88.21 / $88.21	Facility	AS	$88.21	$88.21	$88.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.82 / $888.76 / $1,602.58	Professional		$642.82	$888.76	$1,602.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $589.30 / $989.00 / $1,593.56	Facility		$589.30	$989.00	$1,593.56
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $163.26 / $203.80 / $335.24	Facility	80	$163.26	$203.80	$335.24
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $115.76 / $142.66 / $234.67	Facility	AS	$115.76	$142.66	$234.67
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 $112.17 / $656.15 / $1,180.87	Professional		$112.17	$656.15	$1,180.87
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 $693.77 / $914.20 / $1,833.89	Professional		$693.77	$914.20	$1,833.89