Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.99 / $7,154.45 / $11,745.88	Facility		$531.99	$7,154.45	$11,745.88
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $97.36 / $225.27 / $698.88	Facility	53	$97.36	$225.27	$698.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.81 / $646.96 / $2,636.85	Professional		$365.81	$646.96	$2,636.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $415.10 / $428.93 / $2,102.89	Professional		$415.10	$428.93	$2,102.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,926.00 / $11,707.15 / $24,627.33	Facility		$2,926.00	$11,707.15	$24,627.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.45 / $964.79 / $2,078.96	Professional		$405.45	$964.79	$2,078.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $705.51 / $8,312.87	Facility		$505.00	$705.51	$8,312.87
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $141.10 / $141.10 / $141.10	Facility	53	$141.10	$141.10	$141.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.26 / $799.44 / $3,974.58	Professional		$485.26	$799.44	$3,974.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $486.79 / $736.11 / $3,215.67	Facility		$486.79	$736.11	$3,215.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7,205.77 / $7,205.77 / $7,205.77	Professional		$7,205.77	$7,205.77	$7,205.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $242.45 / $1,960.44 / $3,263.55	Professional		$242.45	$1,960.44	$3,263.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,714.00 / $27,446.00	Facility		$3,028.00	$18,714.00	$27,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,325.34 / $1,825.41 / $3,976.10	Professional		$1,325.34	$1,825.41	$3,976.10