Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,886.00 / $8,960.00 / $20,083.75	Facility		$4,886.00	$8,960.00	$20,083.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.95 / $644.90 / $1,367.20	Professional		$498.95	$644.90	$1,367.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $565.41 / $762.64 / $946.73	Professional		$565.41	$762.64	$946.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,639.78 / $5,758.51 / $10,770.38	Facility		$2,639.78	$5,758.51	$10,770.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.00 / $1,016.00 / $1,807.18	Professional		$547.00	$1,016.00	$1,807.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.04 / $715.00 / $2,581.96	Facility		$642.04	$715.00	$2,581.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.89 / $859.13 / $1,476.68	Professional		$665.89	$859.13	$1,476.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.04 / $900.00 / $1,453.55	Facility		$630.04	$900.00	$1,453.55
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,209.20 / $1,389.00 / $2,610.00	Facility	50	$1,209.20	$1,389.00	$2,610.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $106.77 / $129.63 / $243.60	Facility	AS	$106.77	$129.63	$243.60
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 / $412.06 / $737.62	Professional		$75.30	$412.06	$737.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,271.00 / $19,591.00	Facility		$2,155.00	$12,271.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.43 / $669.21 / $1,305.77	Professional		$467.43	$669.21	$1,305.77