Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.14 / $4,375.00 / $16,467.00	Facility		$526.14	$4,375.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.18 / $526.14 / $1,148.77	Professional		$355.18	$526.14	$1,148.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $502.72 / $502.72 / $629.27	Professional		$502.72	$502.72	$629.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,552.74 / $3,725.03 / $6,326.94	Facility		$1,552.74	$3,725.03	$6,326.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.55 / $485.14 / $830.90	Professional		$351.55	$485.14	$830.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,073.18 / $5,073.18 / $6,519.14	Facility		$5,073.18	$5,073.18	$6,519.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.78 / $571.83 / $881.02	Professional		$448.78	$571.83	$881.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $399.80 / $540.11 / $856.48	Facility		$399.80	$540.11	$856.48
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $764.62 / $789.50 / $1,172.56	Facility	50	$764.62	$789.50	$1,172.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $483.55 / $4,488.56 / $4,990.91	Professional		$483.55	$4,488.56	$4,990.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $336.51 / $420.14 / $645.76	Professional		$336.51	$420.14	$645.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $19,627.00 / $25,620.00	Facility		$3,028.00	$19,627.00	$25,620.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.70 / $543.49 / $1,064.57	Professional		$379.70	$543.49	$1,064.57