Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.41 / $3,920.17 / $9,062.00	Facility		$405.41	$3,920.17	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.26 / $473.85 / $699.76	Professional		$347.26	$473.85	$699.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.97 / $174.97 / $174.97	Professional		$174.97	$174.97	$174.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,308.63 / $5,095.07 / $8,588.78	Facility		$2,308.63	$5,095.07	$8,588.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.80 / $470.53 / $722.16	Professional		$341.80	$470.53	$722.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $591.71 / $2,581.96	Facility		$505.00	$591.71	$2,581.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $59.17 / $59.17 / $59.17	Facility	AS	$59.17	$59.17	$59.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.51 / $610.29 / $998.99	Professional		$423.51	$610.29	$998.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $406.23 / $628.39 / $1,020.00	Facility		$406.23	$628.39	$1,020.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $69.47 / $106.72 / $139.62	Facility	AS	$69.47	$106.72	$139.62
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 $36.68 / $344.12 / $656.55	Professional		$36.68	$344.12	$656.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $10,257.00 / $16,249.00	Facility		$1,550.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.10 / $591.91 / $1,168.95	Professional		$439.10	$591.91	$1,168.95