Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.94 / $6,127.00 / $22,026.05	Facility		$260.94	$6,127.00	$22,026.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.74 / $251.68 / $1,400.52	Professional		$180.74	$251.68	$1,400.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.79 / $281.47 / $347.92	Professional		$207.79	$281.47	$347.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,938.23 / $9,694.08 / $19,144.55	Facility		$3,938.23	$9,694.08	$19,144.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.02 / $402.00 / $600.97	Professional		$201.02	$402.00	$600.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.34 / $10,619.00 / $14,963.00	Facility		$239.34	$10,619.00	$14,963.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $146.80 / $146.80 / $146.80	Facility	62	$146.80	$146.80	$146.80
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $23.49 / $23.49 / $23.49	Facility	AS	$23.49	$23.49	$23.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.51 / $304.39 / $544.41	Professional		$239.51	$304.39	$544.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $231.50 / $299.00 / $509.32	Facility		$231.50	$299.00	$509.32
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $51.53 / $59.80 / $109.60	Facility	80	$51.53	$59.80	$109.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $36.07 / $41.86 / $76.72	Facility	AS	$36.07	$41.86	$76.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $227.40 / $359.16	Professional		$168.32	$227.40	$359.16
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,679.00 / $12,047.00	Facility		$225.00	$1,679.00	$12,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.24 / $236.45 / $505.07	Professional		$173.24	$236.45	$505.07