Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,112.91 / $6,203.73 / $15,043.29	Facility		$2,112.91	$6,203.73	$15,043.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.90 / $938.83 / $1,209.65	Professional		$729.90	$938.83	$1,209.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,326.84 / $1,326.84 / $1,326.84	Professional		$1,326.84	$1,326.84	$1,326.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,184.75 / $12,557.21	Facility		$2,500.00	$7,184.75	$12,557.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.25 / $834.57 / $1,424.22	Professional		$741.25	$834.57	$1,424.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $560.00 / $615.00	Facility		$100.00	$560.00	$615.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $749.32 / $1,021.68 / $1,960.24	Professional		$749.32	$1,021.68	$1,960.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $798.09 / $933.69 / $1,602.25	Facility		$798.09	$933.69	$1,602.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $738.53 / $874.00 / $2,070.96	Professional		$738.53	$874.00	$2,070.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.35 / $754.90 / $1,233.50	Professional		$70.35	$754.90	$1,233.50
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 $653.03 / $894.06 / $1,907.55	Professional		$653.03	$894.06	$1,907.55