Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $7,762.47 / $11,748.98	Facility		$891.25	$7,762.47	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $1,548.82	Professional		$537.03	$812.83	$1,548.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $977.24	Professional		$524.81	$724.44	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $9,549.93 / $19,498.45	Facility		$2,951.21	$9,549.93	$19,498.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,202.26	Professional		$537.03	$724.44	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $8,128.31	Facility		$707.95	$977.24	$8,128.31
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	22	$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	AS	$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,513.56	Professional		$602.56	$912.01	$1,513.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,862.09	Professional		$1,230.27	$1,230.27	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $933.25 / $1,621.81	Facility		$602.56	$933.25	$1,621.81
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 $4,677.35 / $20,417.38 / $25,703.96	Facility		$4,677.35	$20,417.38	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,288.25	Professional		$512.86	$758.58	$1,288.25