Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.47 / $5,920.07 / $22,242.60	Facility		$1,154.47	$5,920.07	$22,242.60
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $865.85 / $865.85 / $2,097.67	Facility	54	$865.85	$865.85	$2,097.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.09 / $1,409.17 / $3,367.89	Professional		$1,129.09	$1,409.17	$3,367.89
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $157.01 / $408.72 / $434.52	Professional	AS	$157.01	$408.72	$434.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,269.97 / $1,616.33 / $2,886.30	Professional		$1,269.97	$1,616.33	$2,886.30
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $216.29 / $216.29 / $216.29	Professional	AS	$216.29	$216.29	$216.29
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 $3,406.00 / $3,406.00 / $3,406.00	Professional		$3,406.00	$3,406.00	$3,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,553.10 / $9,575.10 / $14,500.00	Facility		$8,553.10	$9,575.10	$14,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.38 / $2,237.31 / $3,340.37	Professional		$1,269.38	$2,237.31	$3,340.37
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 $1,201.28 / $1,598.31 / $3,468.76	Professional		$1,201.28	$1,598.31	$3,468.76