Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,368.23 / $15,043.29 / $35,642.48	Facility		$2,368.23	$15,043.29	$35,642.48
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,098.79 / $1,098.79 / $2,726.75	Facility	54	$1,098.79	$1,098.79	$2,726.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.18 / $1,409.17 / $2,985.06	Professional		$244.18	$1,409.17	$2,985.06
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $142.91 / $273.95 / $908.92	Professional	AS	$142.91	$273.95	$908.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $289.94 / $1,703.16 / $2,143.84	Professional		$289.94	$1,703.16	$2,143.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,560.13 / $18,692.89 / $36,797.82	Facility		$5,560.13	$18,692.89	$36,797.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,238.66 / $2,446.00 / $3,888.52	Professional		$1,238.66	$2,446.00	$3,888.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,453.24 / $15,133.14 / $15,500.00	Facility		$1,453.24	$15,133.14	$15,500.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,006.58 / $1,006.58 / $1,006.58	Facility	54	$1,006.58	$1,006.58	$1,006.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $143.80 / $143.80 / $143.80	Facility	AS	$143.80	$143.80	$143.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,542.32 / $1,958.16 / $3,275.61	Professional		$1,542.32	$1,958.16	$3,275.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,465.05 / $2,084.29 / $3,150.10	Facility		$1,465.05	$2,084.29	$3,150.10
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,746.98 / $3,202.50 / $5,418.96	Facility	50	$2,746.98	$3,202.50	$5,418.96
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $366.26 / $427.00 / $722.53	Facility	80	$366.26	$427.00	$722.53
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $241.78 / $298.89 / $505.77	Facility	AS	$241.78	$298.89	$505.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14,134.89 / $14,134.89 / $23,700.00	Professional		$14,134.89	$14,134.89	$23,700.00
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 $1,130.61 / $1,571.53 / $2,887.96	Professional		$1,130.61	$1,571.53	$2,887.96