Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $6,025.60 / $16,595.87	Facility		$316.23	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $234.42 / $416.87	Professional		$114.82	$234.42	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,897.79 / $9,549.93	Facility		$1,995.26	$4,897.79	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $251.19 / $354.81	Professional		$104.71	$251.19	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,000.00	Facility		$501.19	$501.19	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $478.63	Professional		$134.90	$251.19	$478.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $263.03 / $562.34	Facility		$131.83	$263.03	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,760.83 / $10,000.00	Facility		$1,698.24	$6,760.83	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $363.08	Professional		$114.82	$213.80	$363.08