Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.08 / $5,576.43 / $8,784.34	Facility		$969.08	$5,576.43	$8,784.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.35 / $385.33 / $630.42	Professional		$298.35	$385.33	$630.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.81 / $176.81 / $176.81	Professional		$176.81	$176.81	$176.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,779.41 / $37,525.14 / $81,036.77	Facility		$3,779.41	$37,525.14	$81,036.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.54 / $732.00 / $1,039.92	Professional		$327.54	$732.00	$1,039.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.23 / $505.00 / $42,971.19	Facility		$387.23	$505.00	$42,971.19
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $38.33 / $38.33 / $38.33	Facility	AS	$38.33	$38.33	$38.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.49 / $556.26 / $890.75	Professional		$415.49	$556.26	$890.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $408.88 / $614.00 / $822.73	Facility		$408.88	$614.00	$822.73
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $95.20 / $133.60 / $197.40	Facility	80	$95.20	$133.60	$197.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $63.93 / $93.52 / $138.18	Facility	AS	$63.93	$93.52	$138.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38,508.01 / $38,508.01 / $38,508.01	Professional		$38,508.01	$38,508.01	$38,508.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $317.55 / $520.80	Professional		$48.51	$317.55	$520.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $25,508.00 / $63,302.00	Facility		$4,252.00	$25,508.00	$63,302.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.39 / $406.75 / $857.77	Professional		$299.39	$406.75	$857.77