Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $4,570.88 / $8,912.51	Facility		$537.03	$4,570.88	$8,912.51
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility	53	$3,019.95	$3,019.95	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $416.87 / $1,023.29	Professional		$144.54	$416.87	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $446.68	Professional		$125.89	$181.97	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,951.21 / $5,754.40	Facility		$1,318.26	$2,951.21	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $446.68 / $794.33	Professional		$141.25	$446.68	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,148.15	Facility		$891.25	$891.25	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $467.74 / $1,122.02	Professional		$199.53	$467.74	$1,122.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $446.68 / $1,148.15	Facility		$169.82	$446.68	$1,148.15
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 $1,698.24 / $6,760.83 / $10,000.00	Facility		$1,698.24	$6,760.83	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $478.63 / $1,122.02	Professional		$165.96	$478.63	$1,122.02