Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.39 / $4,012.75 / $9,062.00	Facility		$563.39	$4,012.75	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.23 / $405.32 / $1,593.73	Professional		$196.23	$405.32	$1,593.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $330.45 / $869.76	Professional		$93.92	$330.45	$869.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $6,085.17 / $12,071.14	Facility		$593.00	$6,085.17	$12,071.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.99 / $380.51 / $1,676.86	Professional		$191.99	$380.51	$1,676.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $615.00 / $2,221.46	Facility		$375.00	$615.00	$2,221.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.89 / $812.89 / $2,288.98	Professional		$261.89	$812.89	$2,288.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $237.29 / $1,263.68 / $2,258.11	Facility		$237.29	$1,263.68	$2,258.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,389.66 / $2,020.16 / $3,000.45	Professional		$1,389.66	$2,020.16	$3,000.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $767.86 / $1,036.62 / $1,574.54	Professional		$767.86	$1,036.62	$1,574.54
United Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $12,269.00 / $19,591.00	Facility		$870.00	$12,269.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,046.36 / $1,506.79 / $2,932.87	Professional		$1,046.36	$1,506.79	$2,932.87