Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.18 / $2,067.46 / $16,467.00	Facility		$812.18	$2,067.46	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.97 / $781.65 / $968.96	Professional		$571.97	$781.65	$968.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $488.44 / $488.44 / $488.44	Professional		$488.44	$488.44	$488.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,483.92 / $4,694.54 / $7,666.70	Facility		$2,483.92	$4,694.54	$7,666.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.30 / $760.00 / $1,273.38	Professional		$626.30	$760.00	$1,273.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $580.00 / $1,677.54	Facility		$580.00	$580.00	$1,677.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.34 / $853.67 / $1,678.30	Professional		$592.34	$853.67	$1,678.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $852.79 / $1,306.02	Facility		$593.00	$852.79	$1,306.02
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $837.00 / $1,320.00 / $2,053.21	Facility	50	$837.00	$1,320.00	$2,053.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $755.00 / $755.00 / $1,376.31	Professional		$755.00	$755.00	$1,376.31
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $2,064.46 / $2,064.46 / $2,064.46	Professional	50	$2,064.46	$2,064.46	$2,064.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $523.49 / $845.09	Professional		$69.42	$523.49	$845.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $10,147.00 / $16,816.00	Facility		$1,981.00	$10,147.00	$16,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $594.40 / $792.53 / $1,290.34	Professional		$594.40	$792.53	$1,290.34