Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,345.64 / $7,025.34 / $13,189.08	Facility		$1,345.64	$7,025.34	$13,189.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.83 / $534.83 / $936.90	Professional		$357.83	$534.83	$936.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.48 / $417.74 / $700.95	Professional		$210.48	$417.74	$700.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.00 / $4,166.93 / $8,473.82	Facility		$1,737.00	$4,166.93	$8,473.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $489.49 / $755.26	Professional		$348.00	$489.49	$755.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $713.96 / $1,965.14	Facility		$580.00	$713.96	$1,965.14
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.40 / $71.40 / $71.40	Facility	AS	$71.40	$71.40	$71.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.64 / $660.19 / $1,182.19	Professional		$365.64	$660.19	$1,182.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $683.20 / $1,114.45	Facility		$385.00	$683.20	$1,114.45
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $77.00 / $141.63 / $243.40	Facility	80	$77.00	$141.63	$243.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $53.90 / $99.15 / $156.02	Facility	AS	$53.90	$99.15	$156.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,606.69 / $1,606.69 / $1,606.69	Professional		$1,606.69	$1,606.69	$1,606.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $447.41 / $810.16	Professional		$75.30	$447.41	$810.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $10,257.00 / $16,249.00	Facility		$1,550.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.73 / $644.09 / $1,347.32	Professional		$497.73	$644.09	$1,347.32