Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $14,454.40 / $35,481.34	Facility		$1,949.84	$14,454.40	$35,481.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $1,479.11 / $3,981.07	Professional		$229.09	$1,479.11	$3,981.07
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $158.49 / $309.03 / $645.65	Professional	AS	$158.49	$309.03	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,258.93 / $1,778.28	Professional		$165.96	$1,258.93	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $21,379.62 / $39,810.72	Facility		$7,079.46	$21,379.62	$39,810.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,398.83 / $3,715.35	Professional		$1,148.15	$2,398.83	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $15,488.17	Facility		$2,187.76	$2,187.76	$15,488.17
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	22	$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	54	$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	AS	$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,235.94	Professional		$1,513.56	$1,949.84	$3,235.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,951.21	Professional		$2,570.40	$2,570.40	$2,951.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $3,388.44	Facility		$1,288.25	$1,995.26	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $22,387.21 / $41,686.94	Facility		$8,317.64	$22,387.21	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,511.89	Professional		$1,122.02	$1,479.11	$2,511.89