Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.44 / $5,373.20 / $9,784.45	Facility		$643.44	$5,373.20	$9,784.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.64 / $487.26 / $854.00	Professional		$328.64	$487.26	$854.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.62 / $325.74 / $325.74	Professional		$195.62	$325.74	$325.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,900.85 / $4,877.85 / $8,525.77	Facility		$1,900.85	$4,877.85	$8,525.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.15 / $582.50 / $993.44	Professional		$382.15	$582.50	$993.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $661.09 / $2,581.96	Facility		$505.00	$661.09	$2,581.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.11 / $66.11 / $66.11	Facility	AS	$66.11	$66.11	$66.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.06 / $596.38 / $1,090.58	Professional		$436.06	$596.38	$1,090.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $647.15 / $1,043.02	Facility		$437.50	$647.15	$1,043.02
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $110.65 / $136.40 / $228.89	Facility	80	$110.65	$136.40	$228.89
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $77.45 / $92.68 / $146.02	Facility	AS	$77.45	$92.68	$146.02
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 / $411.59 / $755.39	Professional		$75.30	$411.59	$755.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $10,257.00 / $16,249.00	Facility		$1,550.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.39 / $609.62 / $1,275.56	Professional		$467.39	$609.62	$1,275.56