Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.26 / $9,369.36 / $20,540.53	Facility		$898.26	$9,369.36	$20,540.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.91 / $897.67 / $1,604.45	Professional		$610.91	$897.67	$1,604.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $573.29 / $573.29 / $573.29	Professional		$573.29	$573.29	$573.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,516.81 / $9,020.84 / $16,391.64	Facility		$4,516.81	$9,020.84	$16,391.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.29 / $888.82 / $1,830.30	Professional		$533.29	$888.82	$1,830.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $2,106.17 / $14,146.00	Facility		$375.00	$2,106.17	$14,146.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.35 / $968.10 / $1,554.43	Professional		$632.35	$968.10	$1,554.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $669.52 / $983.54 / $1,601.40	Facility		$669.52	$983.54	$1,601.40
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,419.91 / $1,589.53 / $2,749.82	Facility	50	$1,419.91	$1,589.53	$2,749.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,745.96 / $1,863.46 / $2,252.57	Professional		$1,745.96	$1,863.46	$2,252.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $674.74 / $1,117.91	Professional		$71.48	$674.74	$1,117.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $19,627.00 / $25,620.00	Facility		$3,028.00	$19,627.00	$25,620.00
United Facility/Professional Professional Modifier Low / Median / High Price $707.23 / $1,053.70 / $1,941.60	Professional		$707.23	$1,053.70	$1,941.60