Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $9,120.11 / $16,595.87	Facility		$1,513.56	$9,120.11	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,412.54	Professional		$489.78	$691.83	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $912.01	Professional		$501.19	$501.19	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,265.80 / $7,943.28	Facility		$2,041.74	$4,265.80	$7,943.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $1,023.29	Professional		$457.09	$616.60	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,659.59	Facility		$575.44	$575.44	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,202.26	Professional		$398.11	$645.65	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $660.69 / $1,202.26	Facility		$489.78	$660.69	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,964.78 / $16,982.44	Facility		$1,995.26	$10,964.78	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $912.01	Professional		$436.52	$575.44	$912.01