Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,409.60 / $11,022.55 / $29,801.00	Facility		$5,409.60	$11,022.55	$29,801.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,042.78 / $17,196.87 / $38,783.40	Facility	50	$8,042.78	$17,196.87	$38,783.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.69 / $511.69 / $1,655.38	Professional		$383.69	$511.69	$1,655.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $433.63 / $722.05 / $746.25	Professional		$433.63	$722.05	$746.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,500.72 / $9,067.89 / $17,926.52	Facility		$3,500.72	$9,067.89	$17,926.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.38 / $573.00 / $1,075.99	Professional		$403.38	$573.00	$1,075.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $810.00 / $3,770.59	Facility		$375.00	$810.00	$3,770.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.91 / $48.91 / $48.91	Facility	AS	$48.91	$48.91	$48.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.27 / $556.04 / $1,004.32	Professional		$419.27	$556.04	$1,004.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $444.16 / $551.00 / $893.43	Facility		$444.16	$551.00	$893.43
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $753.27 / $837.00 / $1,266.00	Facility	50	$753.27	$837.00	$1,266.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $100.44 / $111.60 / $168.80	Facility	80	$100.44	$111.60	$168.80
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $70.31 / $77.56 / $118.16	Facility	AS	$70.31	$77.56	$118.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $754.00 / $3,220.00	Professional		$500.00	$754.00	$3,220.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $375.48 / $628.00	Professional		$60.90	$375.48	$628.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $17,146.00 / $24,161.00	Facility		$1,250.00	$17,146.00	$24,161.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $481.71 / $1,028.04	Professional		$360.90	$481.71	$1,028.04