Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.65 / $9,062.00 / $18,276.00	Facility		$1,590.65	$9,062.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.19 / $1,399.97 / $1,646.90	Professional		$1,055.19	$1,399.97	$1,646.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,229.05 / $1,229.05 / $1,229.05	Professional		$1,229.05	$1,229.05	$1,229.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.76 / $9,263.14 / $15,459.94	Facility		$4,574.76	$9,263.14	$15,459.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,054.00 / $1,200.47 / $2,028.25	Professional		$1,054.00	$1,200.47	$2,028.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,594.85 / $2,594.85 / $2,594.85	Facility		$2,594.85	$2,594.85	$2,594.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $956.20 / $1,452.49 / $2,998.41	Professional		$956.20	$1,452.49	$2,998.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $1,449.62 / $2,147.38	Facility		$1,086.00	$1,449.62	$2,147.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.00 / $933.00 / $2,174.76	Professional		$933.00	$933.00	$2,174.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $843.91 / $1,370.50	Professional		$103.50	$843.91	$1,370.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,779.00 / $12,456.00 / $19,591.00	Facility		$1,779.00	$12,456.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $965.76 / $1,285.98 / $2,080.21	Professional		$965.76	$1,285.98	$2,080.21