Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,706.21 / $9,062.00 / $22,776.00	Facility		$2,706.21	$9,062.00	$22,776.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.51 / $1,223.10 / $2,838.98	Professional		$931.51	$1,223.10	$2,838.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.67 / $1,420.53 / $1,788.08	Professional		$229.67	$1,420.53	$1,788.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,449.42 / $6,918.01 / $17,453.78	Facility		$2,449.42	$6,918.01	$17,453.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,033.11 / $1,195.43 / $2,031.81	Professional		$1,033.11	$1,195.43	$2,031.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,211.14 / $3,000.00 / $5,740.31	Facility		$1,211.14	$3,000.00	$5,740.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $120.27 / $120.27 / $120.27	Facility	AS	$120.27	$120.27	$120.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.11 / $1,445.80 / $2,363.67	Professional		$1,198.11	$1,445.80	$2,363.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,187.08 / $1,467.74 / $2,315.17	Facility		$1,187.08	$1,467.74	$2,315.17
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $260.66 / $314.60 / $527.21	Facility	80	$260.66	$314.60	$527.21
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $182.46 / $220.22 / $369.04	Facility	AS	$182.46	$220.22	$369.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,727.33 / $4,727.33 / $4,727.33	Professional		$4,727.33	$4,727.33	$4,727.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.57 / $765.86 / $1,432.36	Professional		$113.57	$765.86	$1,432.36
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 $891.75 / $1,157.04 / $2,412.57	Professional		$891.75	$1,157.04	$2,412.57