Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,869.64 / $9,062.00 / $29,564.78	Facility		$4,869.64	$9,062.00	$29,564.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,275.96 / $1,652.15 / $2,134.01	Professional		$1,275.96	$1,652.15	$2,134.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,232.81 / $1,299.29 / $1,684.00	Professional		$1,232.81	$1,299.29	$1,684.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,219.00 / $7,234.39 / $14,998.22	Facility		$3,219.00	$7,234.39	$14,998.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,208.64 / $1,469.38 / $2,780.82	Professional		$1,208.64	$1,469.38	$2,780.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,297.39 / $4,297.39 / $4,297.39	Facility		$4,297.39	$4,297.39	$4,297.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.93 / $1,806.45 / $3,238.37	Professional		$1,341.93	$1,806.45	$3,238.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,336.48 / $1,757.35 / $3,132.75	Facility		$1,336.48	$1,757.35	$3,132.75
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $278.76 / $375.49 / $465.61	Facility	80	$278.76	$375.49	$465.61
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $195.13 / $245.35 / $325.92	Facility	AS	$195.13	$245.35	$325.92
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 / $880.49 / $1,425.02	Professional		$138.85	$880.49	$1,425.02
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 $1,229.39 / $1,502.59 / $3,024.29	Professional		$1,229.39	$1,502.59	$3,024.29