Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,140.00 / $5,150.39 / $18,951.07	Facility		$1,140.00	$5,150.39	$18,951.07
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $866.66 / $866.66 / $2,099.63	Facility	54	$866.66	$866.66	$2,099.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,127.10 / $1,319.21 / $3,152.46	Professional		$1,127.10	$1,319.21	$3,152.46
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $141.71 / $378.88 / $1,115.14	Professional	AS	$141.71	$378.88	$1,115.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,317.69 / $1,537.31 / $2,889.68	Professional		$1,317.69	$1,537.31	$2,889.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,650.00 / $13,650.00 / $15,015.00	Facility		$13,650.00	$13,650.00	$15,015.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,353.00 / $3,353.00 / $3,353.00	Professional		$3,353.00	$3,353.00	$3,353.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,731.85 / $9,775.21 / $14,500.00	Facility		$8,731.85	$9,775.21	$14,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.93 / $2,200.23 / $3,173.23	Professional		$1,262.93	$2,200.23	$3,173.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,360.00 / $9,239.00 / $15,000.00	Facility		$1,360.00	$9,239.00	$15,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.81 / $1,529.39 / $3,323.51	Professional		$1,202.81	$1,529.39	$3,323.51