Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.85 / $8,324.39 / $23,276.72	Facility		$897.85	$8,324.39	$23,276.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.15 / $787.37 / $1,446.05	Professional		$525.15	$787.37	$1,446.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $533.11 / $785.62 / $785.62	Professional		$533.11	$785.62	$785.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,125.23 / $6,719.08 / $12,406.48	Facility		$2,125.23	$6,719.08	$12,406.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.22 / $959.78 / $1,640.49	Professional		$589.22	$959.78	$1,640.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $890.00 / $16,055.78	Facility		$580.00	$890.00	$16,055.78
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.19 / $102.19 / $102.19	Facility	AS	$102.19	$102.19	$102.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.76 / $941.78 / $1,861.00	Professional		$715.76	$941.78	$1,861.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.78 / $1,072.00 / $1,832.71	Facility		$691.78	$1,072.00	$1,832.71
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $179.40 / $214.40 / $383.28	Facility	80	$179.40	$214.40	$383.28
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $125.58 / $150.08 / $268.29	Facility	AS	$125.58	$150.08	$268.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,914.78 / $6,914.78 / $6,914.78	Professional		$6,914.78	$6,914.78	$6,914.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.17 / $719.80 / $1,316.49	Professional		$112.17	$719.80	$1,316.49
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 $789.87 / $1,056.82 / $2,114.82	Professional		$789.87	$1,056.82	$2,114.82