Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $7,943.28 / $16,595.87	Facility		$812.83	$7,943.28	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $1,737.80	Professional		$794.33	$851.14	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,778.28	Professional		$794.33	$1,122.02	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,905.46	Professional		$870.96	$1,174.90	$1,905.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $2,041.74	Facility		$851.14	$1,174.90	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,760.83 / $9,120.11	Facility		$2,454.71	$6,760.83	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,778.28	Professional		$794.33	$1,000.00	$1,778.28