Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,284.80 / $6,726.17 / $13,177.23	Facility		$2,284.80	$6,726.17	$13,177.23
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,911.47 / $11,303.19 / $11,303.19	Facility	50	$5,911.47	$11,303.19	$11,303.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.97 / $617.59 / $1,466.94	Professional		$465.97	$617.59	$1,466.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $486.97 / $745.06 / $900.89	Professional		$486.97	$745.06	$900.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,437.68 / $5,010.70 / $11,981.38	Facility		$1,437.68	$5,010.70	$11,981.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.97 / $612.26 / $1,027.45	Professional		$486.97	$612.26	$1,027.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $810.00 / $2,221.46	Facility		$375.00	$810.00	$2,221.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $58.98 / $58.98 / $58.98	Facility	AS	$58.98	$58.98	$58.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.56 / $675.76 / $1,165.46	Professional		$508.56	$675.76	$1,165.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.95 / $637.00 / $1,049.90	Facility		$524.95	$637.00	$1,049.90
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $920.79 / $955.50 / $1,410.59	Facility	50	$920.79	$955.50	$1,410.59
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $122.77 / $127.40 / $188.08	Facility	80	$122.77	$127.40	$188.08
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $85.94 / $89.18 / $131.65	Facility	AS	$85.94	$89.18	$131.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $754.00 / $1,897.08	Professional		$550.00	$754.00	$1,897.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $482.95 / $793.49	Professional		$71.00	$482.95	$793.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $12,189.00 / $18,722.00	Facility		$1,224.00	$12,189.00	$18,722.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.98 / $579.41 / $1,194.71	Professional		$437.98	$579.41	$1,194.71