Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.41 / $3,486.50 / $9,870.00	Facility		$613.41	$3,486.50	$9,870.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $132.04 / $306.70 / $1,098.68	Facility	52	$132.04	$306.70	$1,098.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.70 / $391.93 / $1,681.17	Professional		$213.70	$391.93	$1,681.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.35 / $283.63 / $364.66	Professional		$184.35	$283.63	$364.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,280.00 / $2,262.91 / $4,035.45	Facility		$1,280.00	$2,262.91	$4,035.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.59 / $591.60 / $1,200.01	Professional		$202.59	$591.60	$1,200.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,048.92 / $2,048.92 / $2,632.90	Facility		$2,048.92	$2,048.92	$2,632.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.17 / $619.76 / $2,194.67	Professional		$297.17	$619.76	$2,194.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $264.08 / $1,191.85 / $1,994.21	Facility		$264.08	$1,191.85	$1,994.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,200.49 / $1,812.80 / $2,093.60	Professional		$1,200.49	$1,812.80	$2,093.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $959.75 / $1,303.60 / $2,010.42	Professional		$959.75	$1,303.60	$2,010.42
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $854.40 / $1,427.24 / $2,561.44	Professional		$854.40	$1,427.24	$2,561.44