Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.80 / $7,831.95 / $14,548.88	Facility		$1,587.80	$7,831.95	$14,548.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.88 / $895.18 / $1,420.26	Professional		$574.88	$895.18	$1,420.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $601.45 / $601.45 / $601.45	Professional		$601.45	$601.45	$601.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,891.80 / $6,845.95 / $12,406.48	Facility		$2,891.80	$6,845.95	$12,406.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.46 / $1,012.00 / $1,792.90	Professional		$587.46	$1,012.00	$1,792.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $1,018.68 / $7,319.73	Facility		$815.00	$1,018.68	$7,319.73
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $101.87 / $101.87 / $101.87	Facility	AS	$101.87	$101.87	$101.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.93 / $1,006.94 / $1,824.60	Professional		$765.93	$1,006.94	$1,824.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $679.41 / $1,130.00 / $1,850.33	Facility		$679.41	$1,130.00	$1,850.33
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $188.27 / $226.40 / $378.87	Facility	80	$188.27	$226.40	$378.87
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $147.43 / $158.47 / $259.05	Facility	AS	$147.43	$158.47	$259.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,174.12 / $6,174.12 / $6,174.12	Professional		$6,174.12	$6,174.12	$6,174.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.17 / $719.80 / $1,316.49	Professional		$112.17	$719.80	$1,316.49
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 $808.66 / $1,039.93 / $2,252.48	Professional		$808.66	$1,039.93	$2,252.48