Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,286.36 / $8,784.34 / $17,247.00	Facility		$1,286.36	$8,784.34	$17,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $993.13 / $1,236.93 / $1,679.00	Professional		$993.13	$1,236.93	$1,679.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $942.40 / $961.25 / $1,036.64	Professional		$942.40	$961.25	$1,036.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,551.56 / $7,120.26 / $14,978.85	Facility		$2,551.56	$7,120.26	$14,978.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $942.40 / $1,936.00 / $3,100.65	Professional		$942.40	$1,936.00	$3,100.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,130.00 / $1,130.00 / $3,424.28	Facility		$1,130.00	$1,130.00	$3,424.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.26 / $1,411.06 / $2,523.81	Professional		$1,107.26	$1,411.06	$2,523.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,051.29 / $1,534.00 / $2,465.58	Facility		$1,051.29	$1,534.00	$2,465.58
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $236.40 / $306.80 / $513.40	Facility	80	$236.40	$306.80	$513.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $162.36 / $214.76 / $329.84	Facility	AS	$162.36	$214.76	$329.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,503.00 / $1,503.00 / $3,022.41	Professional		$1,503.00	$1,503.00	$3,022.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $716.91 / $1,145.53	Professional		$103.50	$716.91	$1,145.53
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 $924.36 / $1,128.76 / $2,144.64	Professional		$924.36	$1,128.76	$2,144.64