Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $4,570.88 / $10,964.78	Facility		$724.44	$4,570.88	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $602.56 / $1,096.48	Professional		$257.04	$602.56	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $257.04	Professional		$218.78	$218.78	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,412.54 / $2,818.38	Facility		$707.95	$1,412.54	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $660.69 / $954.99	Professional		$234.42	$660.69	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $501.19 / $831.76	Facility		$436.52	$501.19	$831.76
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	22	$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	52	$346.74	$346.74	$346.74
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	53	$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $616.60 / $1,445.44	Professional		$302.00	$616.60	$1,445.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $954.99	Professional		$870.96	$870.96	$954.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $660.69 / $1,230.27	Facility		$295.12	$660.69	$1,230.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
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 $616.60 / $6,165.95 / $10,000.00	Facility		$616.60	$6,165.95	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $575.44 / $1,023.29	Professional		$251.19	$575.44	$1,023.29