Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.46 / $6,702.16 / $10,032.00	Facility		$376.46	$6,702.16	$10,032.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.31 / $617.42 / $3,500.80	Professional		$215.31	$617.42	$3,500.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.40 / $360.45 / $392.54	Professional		$223.40	$360.45	$392.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,126.89 / $10,016.39 / $17,728.68	Facility		$4,126.89	$10,016.39	$17,728.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.42 / $357.09 / $3,048.28	Professional		$209.42	$357.09	$3,048.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.33 / $619.14 / $4,542.26	Professional		$309.33	$619.14	$4,542.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $258.06 / $2,671.27 / $4,597.60	Facility		$258.06	$2,671.27	$4,597.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,650.99 / $2,109.52 / $3,176.21	Professional		$1,650.99	$2,109.52	$3,176.21
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 $2,236.34 / $3,615.47 / $6,464.14	Professional		$2,236.34	$3,615.47	$6,464.14