Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.49 / $7,333.42 / $18,276.00	Facility		$699.49	$7,333.42	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.10 / $5,308.35 / $7,333.42	Professional		$477.10	$5,308.35	$7,333.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $499.86 / $499.86 / $836.98	Professional		$499.86	$499.86	$836.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.25 / $702.20 / $3,423.63	Facility		$321.25	$702.20	$3,423.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.24 / $1,362.00 / $5,610.76	Professional		$488.24	$1,362.00	$5,610.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,992.66 / $14,992.66 / $19,265.84	Facility		$14,992.66	$14,992.66	$19,265.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.16 / $1,435.64 / $11,321.68	Professional		$624.16	$1,435.64	$11,321.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $594.57 / $6,173.96 / $12,297.38	Facility		$594.57	$6,173.96	$12,297.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10,873.40 / $13,264.94 / $17,185.98	Professional		$10,873.40	$13,264.94	$17,185.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,394.91 / $5,619.71 / $8,434.92	Professional		$4,394.91	$5,619.71	$8,434.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $25,508.00 / $63,302.00	Facility		$4,252.00	$25,508.00	$63,302.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,146.46 / $9,701.29 / $14,778.73	Professional		$6,146.46	$9,701.29	$14,778.73