Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,025.60 / $16,595.87	Facility		$933.25	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,202.26	Professional		$549.54	$758.58	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $691.83	Professional		$512.86	$512.86	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,801.89 / $6,918.31	Facility		$1,819.70	$3,801.89	$6,918.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,000.00	Professional		$478.63	$707.95	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,659.59	Facility		$501.19	$501.19	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $1,412.54	Professional		$501.19	$812.83	$1,412.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $1,380.38	Facility		$524.81	$794.33	$1,380.38
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 $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 $478.63 / $676.08 / $1,096.48	Professional		$478.63	$676.08	$1,096.48