Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,162.28 / $15,135.61	Facility		$630.96	$3,162.28	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,202.26	Professional		$416.87	$602.56	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $1,000.00	Professional		$380.19	$457.09	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,466.84 / $9,549.93	Facility		$1,318.26	$4,466.84	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $691.83	Professional		$363.08	$478.63	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $707.95 / $1,023.29	Facility		$562.34	$707.95	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $1,288.25	Professional		$398.11	$616.60	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $691.83	Professional		$602.56	$602.56	$691.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $616.60 / $1,047.13	Facility		$416.87	$616.60	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
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 $616.60 / $6,165.95 / $10,000.00	Facility		$616.60	$6,165.95	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $851.14	Professional		$371.54	$512.86	$851.14