Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,467.06 / $9,707.54 / $17,247.00	Facility		$1,467.06	$9,707.54	$17,247.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,100.30 / $1,100.30 / $2,406.14	Facility	54	$1,100.30	$1,100.30	$2,406.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.73 / $1,388.21 / $1,906.93	Professional		$907.73	$1,388.21	$1,906.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,078.46 / $1,159.33 / $1,763.11	Professional		$1,078.46	$1,159.33	$1,763.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,757.26 / $8,812.45 / $15,198.39	Facility		$3,757.26	$8,812.45	$15,198.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,078.46 / $1,251.08 / $2,087.59	Professional		$1,078.46	$1,251.08	$2,087.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,424.28 / $3,424.28 / $3,424.28	Facility		$3,424.28	$3,424.28	$3,424.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $989.04 / $1,419.48 / $2,550.92	Professional		$989.04	$1,419.48	$2,550.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,170.66 / $1,403.71 / $2,126.91	Facility		$1,170.66	$1,403.71	$2,126.91
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $263.75 / $267.08 / $413.44	Facility	80	$263.75	$267.08	$413.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,022.41 / $3,022.41 / $3,022.41	Professional		$3,022.41	$3,022.41	$3,022.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.85 / $815.24 / $1,286.20	Professional		$138.85	$815.24	$1,286.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,666.00 / $16,223.00 / $23,485.00	Facility		$2,666.00	$16,223.00	$23,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $941.95 / $1,206.83 / $2,015.56	Professional		$941.95	$1,206.83	$2,015.56