Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.32 / $5,621.00 / $9,062.00	Facility		$790.32	$5,621.00	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.25 / $533.82 / $790.32	Professional		$289.25	$533.82	$790.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $552.20 / $552.20 / $552.20	Professional		$552.20	$552.20	$552.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,212.44 / $4,773.34 / $8,747.60	Facility		$2,212.44	$4,773.34	$8,747.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.12 / $697.29 / $1,265.64	Professional		$322.12	$697.29	$1,265.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $561.84 / $1,512.28 / $1,740.00	Facility		$561.84	$1,512.28	$1,740.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.18 / $56.18 / $56.18	Facility	AS	$56.18	$56.18	$56.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.28 / $695.67 / $1,191.27	Professional		$380.28	$695.67	$1,191.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $384.23 / $695.79 / $1,195.11	Facility		$384.23	$695.79	$1,195.11
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $81.34 / $97.41 / $167.32	Facility	AS	$81.34	$97.41	$167.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,300.71 / $1,300.71 / $1,300.71	Professional		$1,300.71	$1,300.71	$1,300.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $605.01 / $1,023.44	Professional		$69.90	$605.01	$1,023.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $10,257.00 / $17,476.00	Facility		$1,981.00	$10,257.00	$17,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.83 / $694.48 / $1,505.91	Professional		$516.83	$694.48	$1,505.91