Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,637.13 / $6,376.80 / $12,075.00	Facility		$1,637.13	$6,376.80	$12,075.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $164.05 / $330.13 / $1,633.68	Facility	52	$164.05	$330.13	$1,633.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.47 / $710.60 / $1,952.24	Professional		$220.47	$710.60	$1,952.24
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $116.82 / $605.44 / $818.57	Professional	52	$116.82	$605.44	$818.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.79 / $234.79 / $393.14	Professional		$234.79	$234.79	$393.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.79 / $716.52 / $2,305.07	Facility		$335.79	$716.52	$2,305.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.33 / $547.45 / $1,345.28	Professional		$229.33	$547.45	$1,345.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,345.86 / $3,345.86 / $4,299.49	Facility		$3,345.86	$3,345.86	$4,299.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.87 / $673.40 / $2,280.69	Professional		$278.87	$673.40	$2,280.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $278.89 / $1,263.33 / $2,481.11	Facility		$278.89	$1,263.33	$2,481.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,287.12 / $2,960.29 / $3,478.48	Professional		$2,287.12	$2,960.29	$3,478.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,023.83 / $1,304.12 / $1,968.71	Professional		$1,023.83	$1,304.12	$1,968.71
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 $1,220.15 / $1,637.20 / $3,023.46	Professional		$1,220.15	$1,637.20	$3,023.46