Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,438.30 / $5,866.00 / $16,467.00	Facility		$1,438.30	$5,866.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.20 / $1,331.30 / $1,548.06	Professional		$908.20	$1,331.30	$1,548.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,884.01 / $1,884.01 / $1,884.01	Professional		$1,884.01	$1,884.01	$1,884.01
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 $960.00 / $1,060.60 / $1,905.51	Professional		$960.00	$1,060.60	$1,905.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $481.55 / $481.55 / $481.55	Facility		$481.55	$481.55	$481.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.58 / $1,395.36 / $2,725.43	Professional		$895.58	$1,395.36	$2,725.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $917.58 / $1,327.33 / $2,026.69	Facility		$917.58	$1,327.33	$2,026.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $410.59 / $410.59 / $410.59	Professional		$410.59	$410.59	$410.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.85 / $782.43 / $1,242.29	Professional		$138.85	$782.43	$1,242.29
United Facility/Professional Facility Modifier Low / Median / High Price $689.00 / $3,083.00 / $7,558.00	Facility		$689.00	$3,083.00	$7,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $915.25 / $1,189.15 / $1,950.21	Professional		$915.25	$1,189.15	$1,950.21