Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,420.48 / $9,062.00 / $14,644.00	Facility		$1,420.48	$9,062.00	$14,644.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.03 / $1,365.74 / $1,771.98	Professional		$1,034.03	$1,365.74	$1,771.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,039.60 / $1,039.60 / $1,039.60	Professional		$1,039.60	$1,039.60	$1,039.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,657.61 / $7,120.26 / $14,978.85	Facility		$2,657.61	$7,120.26	$14,978.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,039.60 / $1,509.00 / $2,660.10	Professional		$1,039.60	$1,509.00	$2,660.10
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 $1,016.90 / $1,463.52 / $2,783.92	Professional		$1,016.90	$1,463.52	$2,783.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,056.23 / $1,431.43 / $2,070.13	Facility		$1,056.23	$1,431.43	$2,070.13
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $211.25 / $286.29 / $400.32	Facility	80	$211.25	$286.29	$400.32
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 / $751.28 / $1,219.78	Professional		$138.85	$751.28	$1,219.78
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 $948.11 / $1,174.35 / $2,010.60	Professional		$948.11	$1,174.35	$2,010.60