Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.85 / $1,397.20 / $14,644.00	Facility		$476.85	$1,397.20	$14,644.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.36 / $603.39 / $817.26	Professional		$495.36	$603.39	$817.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.57 / $467.57 / $514.33	Professional		$467.57	$467.57	$514.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.51 / $1,279.67 / $2,128.46	Facility		$687.51	$1,279.67	$2,128.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.57 / $964.00 / $1,326.22	Professional		$467.57	$964.00	$1,326.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.78 / $444.78 / $444.78	Facility		$444.78	$444.78	$444.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.08 / $671.92 / $1,256.54	Professional		$542.08	$671.92	$1,256.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $495.36 / $704.59 / $1,120.00	Facility		$495.36	$704.59	$1,120.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $410.59 / $410.59 / $410.59	Professional		$410.59	$410.59	$410.59
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $615.88 / $615.88 / $615.88	Professional	50	$615.88	$615.88	$615.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $325.74 / $545.32	Professional		$69.42	$325.74	$545.32
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.98 / $555.15 / $1,045.93	Professional		$459.98	$555.15	$1,045.93