Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,578.39 / $5,192.00 / $13,974.12	Facility		$1,578.39	$5,192.00	$13,974.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.12 / $707.46 / $1,578.39	Professional		$505.12	$707.46	$1,578.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $607.59 / $850.00 / $1,017.36	Professional		$607.59	$850.00	$1,017.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $924.04 / $3,293.70 / $7,016.09	Facility		$924.04	$3,293.70	$7,016.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.03 / $681.45 / $1,154.39	Professional		$568.03	$681.45	$1,154.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $691.89 / $1,512.28	Facility		$505.00	$691.89	$1,512.28
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $68.64 / $68.64 / $68.64	Facility	AS	$68.64	$68.64	$68.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.69 / $789.92 / $1,345.90	Professional		$601.69	$789.92	$1,345.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $614.66 / $745.38 / $1,300.00	Facility		$614.66	$745.38	$1,300.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,026.38 / $1,203.39 / $2,167.19	Facility	50	$1,026.38	$1,203.39	$2,167.19
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $95.80 / $106.42 / $202.27	Facility	AS	$95.80	$106.42	$202.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,300.71 / $1,300.71 / $1,300.71	Professional		$1,300.71	$1,300.71	$1,300.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $548.17 / $908.60	Professional		$69.90	$548.17	$908.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $10,257.00 / $16,249.00	Facility		$1,550.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.27 / $641.37 / $1,413.95	Professional		$485.27	$641.37	$1,413.95