Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $8,317.64 / $21,379.62	Facility		$1,513.56	$8,317.64	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $4,265.80	Professional		$912.01	$1,412.54	$4,265.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $977.24 / $1,778.28	Professional		$138.04	$977.24	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,760.83 / $15,848.93	Facility		$2,511.89	$6,760.83	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,995.26	Professional		$977.24	$1,202.26	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,019.95 / $5,754.40	Facility		$1,819.70	$3,019.95	$5,754.40
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	22	$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	AS	$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,344.23	Professional		$1,096.48	$1,412.54	$2,344.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,454.71	Professional		$1,905.46	$1,905.46	$2,454.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,511.89	Facility		$1,047.13	$1,445.44	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $20,417.38 / $25,703.96	Facility		$4,677.35	$20,417.38	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,819.70	Professional		$870.96	$1,122.02	$1,819.70