Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,721.01 / $6,813.51 / $13,657.32	Facility		$2,721.01	$6,813.51	$13,657.32
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $12,684.00 / $12,684.00 / $12,684.00	Facility	22	$12,684.00	$12,684.00	$12,684.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.73 / $634.22 / $1,060.49	Professional		$297.73	$634.22	$1,060.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $595.82 / $992.11	Professional		$64.06	$595.82	$992.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.79 / $7,168.81 / $17,193.29	Facility		$2,630.79	$7,168.81	$17,193.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.02 / $981.00 / $1,718.24	Professional		$557.02	$981.00	$1,718.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $675.90 / $2,581.96	Facility		$580.00	$675.90	$2,581.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.26 / $67.26 / $67.26	Facility	AS	$67.26	$67.26	$67.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.85 / $862.97 / $1,324.39	Professional		$696.85	$862.97	$1,324.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $680.53 / $874.60 / $1,438.55	Facility		$680.53	$874.60	$1,438.55
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $149.83 / $179.80 / $294.54	Facility	80	$149.83	$179.80	$294.54
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $104.88 / $125.86 / $206.17	Facility	AS	$104.88	$125.86	$206.17
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 $75.30 / $430.40 / $816.06	Professional		$75.30	$430.40	$816.06
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $19,526.00 / $24,161.00	Facility		$3,028.00	$19,526.00	$24,161.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.48 / $653.22 / $1,347.54	Professional		$513.48	$653.22	$1,347.54