Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.87 / $5,373.19 / $9,499.32	Facility		$939.87	$5,373.19	$9,499.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.57 / $753.35 / $1,300.93	Professional		$490.57	$753.35	$1,300.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.76 / $297.06 / $713.57	Professional		$225.76	$297.06	$713.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,552.46 / $6,719.08 / $12,406.48	Facility		$2,552.46	$6,719.08	$12,406.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.05 / $854.00 / $1,428.35	Professional		$499.05	$854.00	$1,428.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $865.11 / $7,246.92	Facility		$580.00	$865.11	$7,246.92
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.51 / $86.51 / $86.51	Facility	AS	$86.51	$86.51	$86.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.60 / $808.88 / $1,506.93	Professional		$600.60	$808.88	$1,506.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $579.50 / $896.00 / $1,525.68	Facility		$579.50	$896.00	$1,525.68
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $145.54 / $179.65 / $313.36	Facility	80	$145.54	$179.65	$313.36
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $101.88 / $125.75 / $219.35	Facility	AS	$101.88	$125.75	$219.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,116.13 / $6,116.13 / $6,116.13	Professional		$6,116.13	$6,116.13	$6,116.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.07 / $587.86 / $1,095.18	Professional		$112.07	$587.86	$1,095.18
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 $658.01 / $853.73 / $1,860.62	Professional		$658.01	$853.73	$1,860.62