Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.87 / $4,611.79 / $9,863.00	Facility		$758.87	$4,611.79	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.28 / $515.62 / $1,035.68	Professional		$340.28	$515.62	$1,035.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $461.83 / $504.72 / $593.78	Professional		$461.83	$504.72	$593.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $4,544.10 / $9,143.61	Facility		$1,300.00	$4,544.10	$9,143.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.08 / $516.00 / $828.92	Professional		$343.08	$516.00	$828.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $655.00 / $1,842.86	Facility		$375.00	$655.00	$1,842.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.25 / $552.71 / $1,085.96	Professional		$355.25	$552.71	$1,085.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $395.99 / $562.62 / $915.29	Facility		$395.99	$562.62	$915.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $610.00 / $1,573.76	Professional		$500.00	$610.00	$1,573.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $482.77 / $781.75	Professional		$34.27	$482.77	$781.75
United Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $10,069.00 / $16,249.00	Facility		$710.00	$10,069.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.61 / $549.78 / $1,039.61	Professional		$429.61	$549.78	$1,039.61