Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,678.07 / $6,220.72 / $9,778.78	Facility		$1,678.07	$6,220.72	$9,778.78
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $91.37 / $183.32 / $570.15	Facility	53	$91.37	$183.32	$570.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.83 / $654.04 / $1,921.99	Professional		$311.83	$654.04	$1,921.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $282.75 / $440.86 / $606.33	Professional		$282.75	$440.86	$606.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,422.12 / $5,211.85 / $11,394.94	Facility		$1,422.12	$5,211.85	$11,394.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.24 / $544.75 / $1,378.72	Professional		$319.24	$544.75	$1,378.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,021.41 / $2,021.41 / $2,597.55	Facility		$2,021.41	$2,021.41	$2,597.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.60 / $841.97 / $1,870.19	Professional		$391.60	$841.97	$1,870.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $400.58 / $1,213.59 / $2,253.36	Facility		$400.58	$1,213.59	$2,253.36
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $82.04 / $178.36 / $312.38	Facility	AS	$82.04	$178.36	$312.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,370.53 / $1,788.46 / $2,203.92	Professional		$1,370.53	$1,788.46	$2,203.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.77 / $853.68 / $1,345.90	Professional		$106.77	$853.68	$1,345.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,186.00 / $12,483.00 / $22,523.00	Facility		$5,186.00	$12,483.00	$22,523.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.90 / $1,318.38 / $2,506.13	Professional		$1,011.90	$1,318.38	$2,506.13