Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,252.87 / $12,075.00 / $22,092.07	Facility		$3,252.87	$12,075.00	$22,092.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.80 / $1,477.86 / $1,908.74	Professional		$1,141.80	$1,477.86	$1,908.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,104.61 / $1,164.18 / $1,548.12	Professional		$1,104.61	$1,164.18	$1,548.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,027.47 / $7,352.15 / $15,084.15	Facility		$3,027.47	$7,352.15	$15,084.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,082.96 / $2,362.00 / $3,559.98	Professional		$1,082.96	$2,362.00	$3,559.98
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 $1,274.98 / $1,619.14 / $2,897.70	Professional		$1,274.98	$1,619.14	$2,897.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,209.66 / $1,796.16 / $3,116.90	Facility		$1,209.66	$1,796.16	$3,116.90
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $286.39 / $376.15 / $631.20	Facility	80	$286.39	$376.15	$631.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $186.52 / $263.30 / $436.37	Facility	AS	$186.52	$263.30	$436.37
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 $138.85 / $815.24 / $1,286.20	Professional		$138.85	$815.24	$1,286.20
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 $1,100.11 / $1,344.59 / $2,560.32	Professional		$1,100.11	$1,344.59	$2,560.32