Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $4,897.79 / $16,595.87	Facility		$954.99	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $954.99	Professional		$309.03	$407.38	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,073.80 / $7,585.78	Facility		$1,698.24	$4,073.80	$7,585.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $758.58	Professional		$371.54	$537.03	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $575.44 / $1,513.56	Facility		$371.54	$575.44	$1,513.56
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $398.11 / $398.11 / $398.11	Facility	62	$398.11	$398.11	$398.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.10 / $63.10 / $63.10	Facility	AS	$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $891.25	Professional		$363.08	$478.63	$891.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $831.76	Professional		$524.81	$524.81	$831.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $467.74 / $776.25	Facility		$354.81	$467.74	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,964.78 / $16,982.44	Facility		$1,995.26	$10,964.78	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $602.56	Professional		$288.40	$371.54	$602.56