Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,079.46 / $14,125.38	Facility		$1,380.38	$7,079.46	$14,125.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,888.44 / $10,232.93 / $11,220.18	Facility	50	$5,888.44	$10,232.93	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $1,737.80	Professional		$478.63	$758.58	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $870.96	Professional		$446.68	$537.03	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,786.30 / $12,022.64	Facility		$1,548.82	$4,786.30	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $870.96	Professional		$501.19	$602.56	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $891.25 / $2,290.87	Facility		$562.34	$891.25	$2,290.87
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	22	$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,479.11	Professional		$446.68	$660.69	$1,479.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $812.83	Professional		$691.83	$691.83	$812.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $1,122.02	Facility		$512.86	$691.83	$1,122.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
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 $1,230.27 / $12,589.25 / $22,908.68	Facility		$1,230.27	$12,589.25	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,000.00	Professional		$426.58	$562.34	$1,000.00