Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.38 / $3,652.95 / $8,310.95	Facility		$291.38	$3,652.95	$8,310.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.18 / $291.38 / $925.54	Professional		$230.18	$291.38	$925.54
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $33.11 / $61.19 / $161.11	Professional	AS	$33.11	$61.19	$161.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $254.11 / $344.86 / $425.48	Professional		$254.11	$344.86	$425.48
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $57.54 / $57.54 / $57.55	Professional	AS	$57.54	$57.54	$57.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,289.76 / $4,144.26 / $8,656.01	Facility		$1,289.76	$4,144.26	$8,656.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.56 / $436.00 / $766.62	Professional		$237.56	$436.00	$766.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.55 / $292.55 / $890.00	Facility		$292.55	$292.55	$890.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $179.42 / $179.42 / $179.42	Facility	62	$179.42	$179.42	$179.42
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $28.71 / $28.71 / $28.71	Facility	AS	$28.71	$28.71	$28.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.87 / $358.63 / $586.59	Professional		$300.87	$358.63	$586.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $268.17 / $349.87 / $575.75	Facility		$268.17	$349.87	$575.75
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $68.55 / $69.97 / $118.58	Facility	80	$68.55	$69.97	$118.58
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $46.48 / $48.98 / $83.01	Facility	AS	$46.48	$48.98	$83.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.81 / $266.58 / $416.36	Professional		$195.81	$266.58	$416.36
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.11 / $281.98 / $581.84	Professional		$217.11	$281.98	$581.84