Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.96 / $2,165.83 / $16,467.00	Facility		$592.96	$2,165.83	$16,467.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $444.72 / $622.92 / $1,312.08	Facility	54	$444.72	$622.92	$1,312.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.37 / $592.60 / $830.57	Professional		$387.37	$592.60	$830.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $437.23 / $445.97 / $717.94	Professional		$437.23	$445.97	$717.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,123.46 / $4,615.25 / $9,395.54	Facility		$2,123.46	$4,615.25	$9,395.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.09 / $602.55 / $1,009.55	Professional		$459.09	$602.55	$1,009.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $815.00 / $1,677.54	Facility		$815.00	$815.00	$1,677.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.87 / $718.45 / $1,306.81	Professional		$436.87	$718.45	$1,306.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.20 / $673.83 / $1,121.27	Facility		$457.20	$673.83	$1,121.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,062.00 / $1,062.00 / $1,376.31	Professional		$1,062.00	$1,062.00	$1,376.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $421.11 / $700.15	Professional		$69.42	$421.11	$700.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $10,257.00 / $16,249.00	Facility		$1,258.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.68 / $679.57 / $1,105.97	Professional		$509.68	$679.57	$1,105.97