Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,024.18 / $9,062.00 / $19,211.95	Facility		$1,024.18	$9,062.00	$19,211.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.01 / $928.03 / $1,712.69	Professional		$530.01	$928.03	$1,712.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $736.24 / $794.96 / $979.36	Professional		$736.24	$794.96	$979.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,748.47 / $9,243.78 / $16,208.45	Facility		$3,748.47	$9,243.78	$16,208.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.87 / $852.24 / $1,372.68	Professional		$684.87	$852.24	$1,372.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $3,829.28 / $4,920.68	Facility		$715.00	$3,829.28	$4,920.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $644.80 / $867.01 / $1,657.52	Professional		$644.80	$867.01	$1,657.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $734.66 / $1,001.00 / $1,767.94	Facility		$734.66	$1,001.00	$1,767.94
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $154.52 / $198.61 / $275.87	Facility	80	$154.52	$198.61	$275.87
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $108.16 / $135.80 / $193.11	Facility	AS	$108.16	$135.80	$193.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,907.09 / $3,388.00 / $3,821.93	Professional		$1,907.09	$3,388.00	$3,821.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $470.48 / $759.61 / $1,184.93	Professional		$470.48	$759.61	$1,184.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $19,627.00 / $25,620.00	Facility		$3,028.00	$19,627.00	$25,620.00
United Facility/Professional Professional Modifier Low / Median / High Price $689.46 / $945.87 / $1,950.16	Professional		$689.46	$945.87	$1,950.16