Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.86 / $9,863.00 / $22,213.02	Facility		$746.86	$9,863.00	$22,213.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.70 / $593.55 / $1,043.24	Professional		$408.70	$593.55	$1,043.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.99 / $234.99 / $393.47	Professional		$234.99	$234.99	$393.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,002.87 / $6,619.09 / $12,097.16	Facility		$2,002.87	$6,619.09	$12,097.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.05 / $605.77 / $921.35	Professional		$459.05	$605.77	$921.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $795.21 / $2,581.96	Facility		$580.00	$795.21	$2,581.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.52 / $79.52 / $79.52	Facility	AS	$79.52	$79.52	$79.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.74 / $721.80 / $1,307.61	Professional		$532.74	$721.80	$1,307.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $532.14 / $755.62 / $1,210.59	Facility		$532.14	$755.62	$1,210.59
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $123.43 / $169.60 / $264.48	Facility	80	$123.43	$169.60	$264.48
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $86.40 / $118.72 / $169.48	Facility	AS	$86.40	$118.72	$169.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,144.91 / $2,144.91 / $2,144.91	Professional		$2,144.91	$2,144.91	$2,144.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $478.53 / $882.23	Professional		$75.30	$478.53	$882.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,456.00 / $19,591.00	Facility		$2,155.00	$12,456.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.54 / $692.65 / $1,473.06	Professional		$528.54	$692.65	$1,473.06