Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,638.90 / $1,638.90 / $28,435.10	Facility		$1,638.90	$1,638.90	$28,435.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.63 / $3,079.48 / $28,435.10	Professional		$931.63	$3,079.48	$28,435.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $515.02 / $807.28 / $964.68	Professional		$515.02	$807.28	$964.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,466.24 / $20,285.18 / $38,216.76	Facility		$8,466.24	$20,285.18	$38,216.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.88 / $2,047.80 / $9,899.25	Professional		$565.88	$2,047.80	$9,899.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $810.02 / $12,235.77 / $20,748.96	Facility		$810.02	$12,235.77	$20,748.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,325.18 / $10,880.87 / $14,009.88	Professional		$5,325.18	$10,880.87	$14,009.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,030.18 / $9,037.53 / $13,558.52	Professional		$7,030.18	$9,037.53	$13,558.52
United Facility/Professional Professional Modifier Low / Median / High Price $10,518.66 / $16,034.02 / $26,051.14	Professional		$10,518.66	$16,034.02	$26,051.14