Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,971.14 / $1,971.14 / $38,477.80	Facility		$1,971.14	$1,971.14	$38,477.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,116.69 / $3,700.69 / $38,477.80	Professional		$1,116.69	$3,700.69	$38,477.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $695.21 / $695.21 / $989.47	Professional		$695.21	$695.21	$989.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,725.54 / $26,209.40 / $61,894.82	Facility		$4,725.54	$26,209.40	$61,894.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $679.05 / $2,271.60 / $12,640.58	Professional		$679.05	$2,271.60	$12,640.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,005.63 / $18,905.79 / $30,427.65	Facility		$1,005.63	$18,905.79	$30,427.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12,718.26 / $14,116.53 / $18,185.65	Professional		$12,718.26	$14,116.53	$18,185.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,987.79 / $11,540.70 / $17,333.88	Professional		$8,987.79	$11,540.70	$17,333.88
United Facility/Professional Facility Modifier Low / Median / High Price $75,718.32 / $87,398.27 / $115,188.50	Facility		$75,718.32	$87,398.27	$115,188.50
United Facility/Professional Professional Modifier Low / Median / High Price $13,523.18 / $20,749.71 / $33,492.32	Professional		$13,523.18	$20,749.71	$33,492.32