Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,784.10 / $8,324.40 / $15,043.29	Facility		$1,784.10	$8,324.40	$15,043.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.39 / $877.70 / $1,558.07	Professional		$626.39	$877.70	$1,558.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $642.54 / $890.64 / $1,198.82	Professional		$642.54	$890.64	$1,198.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,205.70 / $9,112.79 / $15,937.45	Facility		$3,205.70	$9,112.79	$15,937.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.71 / $837.00 / $1,471.70	Professional		$597.71	$837.00	$1,471.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $2,021.41 / $2,597.55	Facility		$580.00	$2,021.41	$2,597.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.45 / $905.60 / $1,454.37	Professional		$587.45	$905.60	$1,454.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $683.40 / $903.34 / $1,554.00	Facility		$683.40	$903.34	$1,554.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $172.40 / $180.67 / $264.05	Facility	80	$172.40	$180.67	$264.05
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $120.68 / $123.46 / $184.83	Facility	AS	$120.68	$123.46	$184.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,788.46 / $1,907.09 / $2,203.92	Professional		$1,788.46	$1,907.09	$2,203.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $403.39 / $656.79 / $1,024.60	Professional		$403.39	$656.79	$1,024.60
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 $643.12 / $858.16 / $1,701.86	Professional		$643.12	$858.16	$1,701.86