Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.55 / $2,548.03 / $9,062.00	Facility		$571.55	$2,548.03	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.80 / $770.30 / $1,391.14	Professional		$197.80	$770.30	$1,391.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.28 / $201.28 / $335.16	Professional		$201.28	$201.28	$335.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.00 / $1,905.84 / $3,536.27	Facility		$589.00	$1,905.84	$3,536.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.73 / $295.08 / $1,190.50	Professional		$194.73	$295.08	$1,190.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $615.00 / $1,139.16	Facility		$375.00	$615.00	$1,139.16
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $274.70 / $274.70	Facility	52	$274.70	$274.70	$274.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $68.68 / $68.68	Facility	53	$68.68	$68.68	$68.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.57 / $592.22 / $1,803.28	Professional		$250.57	$592.22	$1,803.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.59 / $1,071.88 / $1,656.55	Facility		$239.59	$1,071.88	$1,656.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $570.11 / $1,458.70 / $2,338.71	Professional		$570.11	$1,458.70	$2,338.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.53 / $711.94 / $1,161.28	Professional		$68.53	$711.94	$1,161.28
United Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $6,172.00 / $8,667.00	Facility		$586.00	$6,172.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $794.50 / $1,119.04 / $2,183.79	Professional		$794.50	$1,119.04	$2,183.79