Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,344.23 / $5,754.40	Facility		$2,137.96	$2,344.23	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $8,511.38	Professional		$1,949.84	$2,818.38	$8,511.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $2,754.23	Professional		$2,041.74	$2,454.71	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,344.23 / $3,090.30	Professional		$2,089.30	$2,344.23	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $3,981.07	Professional		$1,905.46	$2,754.23	$3,981.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $5,128.61	Facility		$2,089.30	$2,570.40	$5,128.61
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 $2,344.23 / $6,760.83 / $9,120.11	Facility		$2,344.23	$6,760.83	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $3,801.89	Professional		$1,698.24	$2,290.87	$3,801.89