Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,950.83 / $4,375.00 / $11,119.08	Facility		$2,950.83	$4,375.00	$11,119.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $2,712.76 / $4,233.03	Professional		$157.83	$2,712.76	$4,233.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $86.67 / $86.67	Professional		$86.67	$86.67	$86.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,313.35 / $4,783.38 / $13,864.13	Facility		$2,313.35	$4,783.38	$13,864.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.24 / $252.85 / $3,131.98	Professional		$161.24	$252.85	$3,131.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,391.10 / $5,391.10 / $6,927.67	Facility		$5,391.10	$5,391.10	$6,927.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.36 / $2,130.02 / $5,416.69	Professional		$219.36	$2,130.02	$5,416.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $191.86 / $2,856.64 / $4,941.79	Facility		$191.86	$2,856.64	$4,941.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,769.84 / $4,769.84 / $5,748.68	Professional		$4,769.84	$4,769.84	$5,748.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,085.56 / $2,888.91 / $4,393.15	Professional		$2,085.56	$2,888.91	$4,393.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,959.00 / $23,485.00	Facility		$2,912.00	$16,959.00	$23,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,113.99 / $4,308.35 / $7,732.11	Professional		$3,113.99	$4,308.35	$7,732.11