Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.65 / $5,721.10 / $9,062.00	Facility		$483.65	$5,721.10	$9,062.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $241.83 / $241.83 / $579.41	Facility	52	$241.83	$241.83	$579.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.51 / $444.68 / $668.31	Professional		$384.51	$444.68	$668.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.23 / $668.42 / $703.81	Professional		$275.23	$668.42	$703.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,001.95 / $4,896.00 / $8,588.78	Facility		$2,001.95	$4,896.00	$8,588.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.16 / $530.25 / $894.67	Professional		$395.16	$530.25	$894.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.35 / $505.00 / $2,581.96	Facility		$480.35	$505.00	$2,581.96
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $379.98 / $379.98 / $379.98	Facility	52	$379.98	$379.98	$379.98
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $47.50	Facility	AS	$47.50	$47.50	$47.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.56 / $584.49 / $934.65	Professional		$490.56	$584.49	$934.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $475.76 / $601.46 / $942.53	Facility		$475.76	$601.46	$942.53
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $71.40 / $90.30 / $129.54	Facility	AS	$71.40	$90.30	$129.54
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 $65.67 / $355.51 / $621.29	Professional		$65.67	$355.51	$621.29
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 $357.14 / $456.02 / $950.71	Professional		$357.14	$456.02	$950.71