Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.76 / $5,997.97 / $9,870.00	Facility		$501.76	$5,997.97	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.67 / $501.76 / $1,155.52	Professional		$178.67	$501.76	$1,155.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.98 / $239.98 / $249.15	Professional		$239.98	$239.98	$249.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,204.60 / $5,833.71 / $9,867.28	Facility		$2,204.60	$5,833.71	$9,867.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $298.82 / $862.02	Professional		$176.21	$298.82	$862.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,569.57 / $2,569.57 / $3,301.95	Facility		$2,569.57	$2,569.57	$3,301.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.01 / $513.03 / $1,404.16	Professional		$225.01	$513.03	$1,404.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $224.16 / $816.22 / $1,430.01	Facility		$224.16	$816.22	$1,430.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,079.03 / $2,273.46 / $2,912.58	Professional		$1,079.03	$2,273.46	$2,912.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $656.83 / $1,040.01	Professional		$69.55	$656.83	$1,040.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $13,680.00 / $20,474.00	Facility		$2,155.00	$13,680.00	$20,474.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.46 / $1,039.25 / $1,940.75	Professional		$724.46	$1,039.25	$1,940.75