Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.33 / $2,795.63 / $5,765.72	Facility		$1,287.33	$2,795.63	$5,765.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.13 / $727.00 / $2,157.34	Professional		$86.13	$727.00	$2,157.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.11 / $145.04 / $145.04	Professional		$87.11	$145.04	$145.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.27 / $183.60 / $1,329.30	Professional		$84.27	$183.60	$1,329.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.69 / $249.42 / $2,077.50	Professional		$107.69	$249.42	$2,077.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.52 / $1,287.33 / $2,228.42	Facility		$121.52	$1,287.33	$2,228.42
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $31.18 / $364.87 / $484.74	Facility	80	$31.18	$364.87	$484.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,515.87 / $3,515.87 / $3,515.87	Professional		$3,515.87	$3,515.87	$3,515.87
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $5,273.81 / $5,273.81 / $5,273.81	Professional	50	$5,273.81	$5,273.81	$5,273.81
Medcost Facility/Professional Professional Modifier 80 Low / Median / High Price $703.17 / $703.17 / $703.17	Professional	80	$703.17	$703.17	$703.17
Medcost Facility/Professional Professional Modifier AS Low / Median / High Price $492.22 / $492.22 / $492.22	Professional	AS	$492.22	$492.22	$492.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $666.68 / $928.16 / $1,410.41	Professional		$666.68	$928.16	$1,410.41
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,091.95 / $1,506.89 / $2,704.39	Professional		$1,091.95	$1,506.89	$2,704.39