Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $5,248.07 / $9,772.37	Facility		$602.56	$5,248.07	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $831.76	Professional		$316.23	$478.63	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $177.83	Professional		$162.18	$173.78	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,786.30 / $8,912.51	Facility		$1,995.26	$4,786.30	$8,912.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $691.83	Professional		$338.84	$501.19	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $588.84 / $2,570.40	Facility		$501.19	$588.84	$2,570.40
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	AS	$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $933.25	Professional		$416.87	$602.56	$933.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,258.93	Professional		$812.83	$812.83	$1,258.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $616.60 / $1,047.13	Facility		$380.19	$616.60	$1,047.13
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 $1,995.26 / $11,220.18 / $16,982.44	Facility		$1,995.26	$11,220.18	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $831.76	Professional		$316.23	$489.78	$831.76