Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.10 / $6,607.90 / $12,022.62	Facility		$996.10	$6,607.90	$12,022.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $270.39 / $1,839.00	Professional		$160.13	$270.39	$1,839.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $231.44 / $285.66	Professional		$38.63	$231.44	$285.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,460.86 / $6,675.93 / $16,161.95	Facility		$2,460.86	$6,675.93	$16,161.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.05 / $1,085.00 / $1,885.03	Professional		$165.05	$1,085.00	$1,885.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.23 / $580.00 / $2,000.00	Facility		$194.23	$580.00	$2,000.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $19.01 / $19.01 / $19.01	Facility	AS	$19.01	$19.01	$19.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.59 / $391.19 / $1,190.75	Professional		$210.59	$391.19	$1,190.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $196.32 / $411.05 / $1,202.00	Facility		$196.32	$411.05	$1,202.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $49.08 / $163.36 / $268.39	Facility	80	$49.08	$163.36	$268.39
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $32.22 / $114.35 / $187.88	Facility	AS	$32.22	$114.35	$187.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $226.63 / $359.16	Professional		$168.32	$226.63	$359.16
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $5,123.00	Facility		$225.00	$1,221.00	$5,123.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.80 / $233.13 / $910.86	Professional		$145.80	$233.13	$910.86