Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,497.00 / $15,846.60 / $37,343.12	Facility		$7,497.00	$15,846.60	$37,343.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.35 / $1,651.06 / $2,889.36	Professional		$1,291.35	$1,651.06	$2,889.36
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $187.12 / $308.75 / $1,412.23	Professional	AS	$187.12	$308.75	$1,412.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $255.24 / $1,441.09 / $2,399.58	Professional		$255.24	$1,441.09	$2,399.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,720.18 / $17,854.32 / $44,827.44	Facility		$3,720.18	$17,854.32	$44,827.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,347.25 / $1,979.00 / $2,864.80	Professional		$1,347.25	$1,979.00	$2,864.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,636.45 / $14,500.00 / $23,740.53	Facility		$1,636.45	$14,500.00	$23,740.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $161.91 / $161.91 / $161.91	Facility	AS	$161.91	$161.91	$161.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,632.86 / $2,013.26 / $3,190.68	Professional		$1,632.86	$2,013.26	$3,190.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,622.05 / $1,984.90 / $3,203.57	Facility		$1,622.05	$1,984.90	$3,203.57
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $363.69 / $417.40 / $682.40	Facility	80	$363.69	$417.40	$682.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $246.96 / $292.18 / $477.26	Facility	AS	$246.96	$292.18	$477.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35,380.00 / $35,380.00 / $35,380.00	Professional		$35,380.00	$35,380.00	$35,380.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.60 / $1,030.83 / $1,897.96	Professional		$150.60	$1,030.83	$1,897.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $21,721.00 / $35,581.00	Facility		$3,340.00	$21,721.00	$35,581.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,212.03 / $1,686.26 / $3,480.25	Professional		$1,212.03	$1,686.26	$3,480.25