Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.80 / $3,776.00 / $9,727.00	Facility		$66.80	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $1,064.02 / $1,800.30	Professional		$60.14	$1,064.02	$1,800.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,113.83 / $1,113.83 / $1,881.89	Professional		$1,113.83	$1,113.83	$1,881.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,014.75 / $2,060.65 / $4,058.28	Facility		$1,014.75	$2,060.65	$4,058.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $1,025.44 / $1,733.68	Professional		$42.66	$1,025.44	$1,733.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.51 / $1,027.39 / $2,298.13	Professional		$70.51	$1,027.39	$2,298.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.37 / $1,400.00 / $1,940.04	Facility		$55.37	$1,400.00	$1,940.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $988.84 / $1,293.80 / $1,633.70	Professional		$988.84	$1,293.80	$1,633.70
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,149.09 / $1,436.37 / $2,294.80	Professional		$1,149.09	$1,436.37	$2,294.80