Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,750.00 / $10,500.00 / $16,090.29	Facility		$1,750.00	$10,500.00	$16,090.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.87 / $1,069.84 / $1,454.31	Professional		$750.87	$1,069.84	$1,454.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $814.71 / $831.00 / $896.18	Professional		$814.71	$831.00	$896.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.87 / $6,951.60 / $14,978.85	Facility		$1,525.87	$6,951.60	$14,978.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.71 / $1,413.00 / $2,463.71	Professional		$814.71	$1,413.00	$2,463.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $715.00 / $3,424.28	Facility		$715.00	$715.00	$3,424.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.98 / $1,094.90 / $2,038.58	Professional		$772.98	$1,094.90	$2,038.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $805.00 / $1,121.10 / $2,199.42	Facility		$805.00	$1,121.10	$2,199.42
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $161.00 / $224.22 / $439.89	Facility	80	$161.00	$224.22	$439.89
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $112.70 / $156.96 / $289.13	Facility	AS	$112.70	$156.96	$289.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.00 / $933.00 / $3,022.41	Professional		$933.00	$933.00	$3,022.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $591.47 / $964.57	Professional		$69.42	$591.47	$964.57
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 $747.05 / $918.12 / $1,512.44	Professional		$747.05	$918.12	$1,512.44