Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.56 / $4,910.14 / $9,062.00	Facility		$209.56	$4,910.14	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.88 / $1,450.20 / $2,045.40	Professional		$149.88	$1,450.20	$2,045.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,086.10 / $1,086.10 / $1,140.33	Professional		$1,086.10	$1,086.10	$1,140.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,146.35 / $1,737.00 / $4,675.93	Facility		$1,146.35	$1,737.00	$4,675.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.59 / $1,321.00 / $1,838.13	Professional		$138.59	$1,321.00	$1,838.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,248.31 / $1,248.31 / $1,604.11	Facility		$1,248.31	$1,248.31	$1,604.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.47 / $464.97 / $3,084.29	Professional		$187.47	$464.97	$3,084.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $1,624.53 / $3,132.07	Facility		$178.13	$1,624.53	$3,132.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $875.60 / $1,104.45 / $1,397.41	Professional		$875.60	$1,104.45	$1,397.41
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,313.40 / $1,313.40 / $2,096.12	Professional	50	$1,313.40	$1,313.40	$2,096.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,132.06 / $1,446.37 / $2,189.82	Professional		$1,132.06	$1,446.37	$2,189.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,249.00 / $9,900.00	Facility		$1,689.00	$5,249.00	$9,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,540.58 / $2,143.92 / $4,199.43	Professional		$1,540.58	$2,143.92	$4,199.43