Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.24 / $6,305.60 / $11,375.93	Facility		$887.24	$6,305.60	$11,375.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $763.89 / $1,222.22	Professional		$526.41	$763.89	$1,222.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $961.98 / $961.98 / $967.36	Professional		$961.98	$961.98	$967.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,938.15 / $9,358.28 / $19,686.22	Facility		$2,938.15	$9,358.28	$19,686.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.00 / $709.60 / $1,118.59	Professional		$535.00	$709.60	$1,118.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $978.60 / $8,098.79	Facility		$715.00	$978.60	$8,098.79
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $97.86 / $97.86 / $97.86	Facility	AS	$97.86	$97.86	$97.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.03 / $920.16 / $1,553.41	Professional		$664.03	$920.16	$1,553.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $662.38 / $975.96 / $1,502.11	Facility		$662.38	$975.96	$1,502.11
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $146.53 / $232.20 / $321.52	Facility	80	$146.53	$232.20	$321.52
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $105.32 / $155.27 / $213.87	Facility	AS	$105.32	$155.27	$213.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,842.06 / $6,842.06 / $6,842.06	Professional		$6,842.06	$6,842.06	$6,842.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $556.72 / $1,042.01	Professional		$75.30	$556.72	$1,042.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $19,526.00 / $24,161.00	Facility		$3,028.00	$19,526.00	$24,161.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.86 / $888.86 / $1,741.97	Professional		$661.86	$888.86	$1,741.97