Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $9,120.11 / $18,620.87	Facility		$489.78	$9,120.11	$18,620.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility	50	$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $489.78 / $3,162.28	Professional		$177.83	$489.78	$3,162.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $162.18 / $162.18	Professional	50	$123.03	$162.18	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $1,122.02 / $2,398.83	Professional	50	$138.04	$1,122.02	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,370.32 / $10,232.93	Facility		$2,570.40	$5,370.32	$10,232.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,513.56 / $2,454.71	Professional		$154.88	$1,513.56	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,344.23	Facility		$1,819.70	$1,819.70	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $478.63 / $4,786.30	Professional		$229.09	$478.63	$4,786.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,479.11 / $4,570.88	Facility		$204.17	$1,479.11	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $13,182.57 / $23,988.33	Facility		$5,128.61	$13,182.57	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $1,380.38 / $5,623.41	Professional		$177.83	$1,380.38	$5,623.41