Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,799.00 / $20,072.47 / $37,256.53	Facility		$7,799.00	$20,072.47	$37,256.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $30,078.66 / $30,078.66 / $30,078.66	Facility	50	$30,078.66	$30,078.66	$30,078.66
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,099.84 / $1,099.84 / $2,729.22	Facility	54	$1,099.84	$1,099.84	$2,729.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.59 / $1,466.47 / $3,638.96	Professional		$1,166.59	$1,466.47	$3,638.96
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $162.93 / $277.41 / $815.68	Professional	AS	$162.93	$277.41	$815.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $341.52 / $1,739.54 / $2,146.42	Professional		$341.52	$1,739.54	$2,146.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,158.35 / $23,640.32 / $44,708.12	Facility		$8,158.35	$23,640.32	$44,708.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,240.16 / $2,313.00 / $3,677.71	Professional		$1,240.16	$2,313.00	$3,677.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,455.37 / $13,000.00 / $15,449.42	Facility		$1,455.37	$13,000.00	$15,449.42
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,008.15 / $1,008.15 / $1,008.15	Facility	54	$1,008.15	$1,008.15	$1,008.15
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $900.13 / $900.13 / $900.13	Facility	62	$900.13	$900.13	$900.13
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $144.02 / $144.02 / $144.02	Facility	AS	$144.02	$144.02	$144.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,534.29 / $1,902.36 / $3,278.77	Professional		$1,534.29	$1,902.36	$3,278.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,466.47 / $1,958.39 / $3,154.51	Facility		$1,466.47	$1,958.39	$3,154.51
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,623.37 / $2,973.00 / $4,962.00	Facility	50	$2,623.37	$2,973.00	$4,962.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $349.78 / $396.40 / $661.60	Facility	80	$349.78	$396.40	$661.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $242.07 / $277.48 / $463.12	Facility	AS	$242.07	$277.48	$463.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14,229.99 / $14,229.99 / $20,425.00	Professional		$14,229.99	$14,229.99	$20,425.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.60 / $927.34 / $1,714.16	Professional		$150.60	$927.34	$1,714.16
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 $1,132.06 / $1,493.13 / $3,247.00	Professional		$1,132.06	$1,493.13	$3,247.00