Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.64 / $3,906.20 / $9,062.00	Facility		$483.64	$3,906.20	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.46 / $1,134.53 / $2,316.57	Professional		$346.46	$1,134.53	$2,316.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $347.25 / $347.25 / $347.25	Professional		$347.25	$347.25	$347.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,533.37 / $6,505.58 / $11,977.17	Facility		$2,533.37	$6,505.58	$11,977.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.94 / $499.20 / $1,865.65	Professional		$335.94	$499.20	$1,865.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.71 / $894.91 / $3,095.18	Professional		$420.71	$894.91	$3,095.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $458.83 / $1,946.34 / $3,165.47	Facility		$458.83	$1,946.34	$3,165.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,120.68 / $5,120.68 / $5,120.68	Professional		$5,120.68	$5,120.68	$5,120.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,033.49 / $1,408.61 / $2,146.28	Professional		$1,033.49	$1,408.61	$2,146.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,114.00 / $12,798.00 / $19,591.00	Facility		$5,114.00	$12,798.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,409.43 / $2,011.58 / $3,490.68	Professional		$1,409.43	$2,011.58	$3,490.68