Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,450.89 / $9,770.95 / $12,994.00	Facility		$2,450.89	$9,770.95	$12,994.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.68 / $1,366.17 / $1,835.64	Professional		$1,096.68	$1,366.17	$1,835.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,039.60 / $1,143.57 / $1,143.57	Professional		$1,039.60	$1,143.57	$1,143.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,984.90 / $7,234.39 / $14,998.22	Facility		$2,984.90	$7,234.39	$14,998.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,039.60 / $1,796.08 / $3,036.58	Professional		$1,039.60	$1,796.08	$3,036.58
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 $1,163.98 / $1,553.66 / $2,783.92	Professional		$1,163.98	$1,553.66	$2,783.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,148.70 / $1,519.67 / $2,072.71	Facility		$1,148.70	$1,519.67	$2,072.71
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $241.84 / $322.75 / $400.21	Facility	80	$241.84	$322.75	$400.21
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $169.29 / $211.04 / $280.14	Facility	AS	$169.29	$211.04	$280.14
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 $2,912.00 / $16,963.24 / $23,485.00	Facility		$2,912.00	$16,963.24	$23,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,029.25 / $1,314.00 / $2,965.95	Professional		$1,029.25	$1,314.00	$2,965.95