Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,018.55 / $5,457.82 / $12,202.71	Facility		$2,018.55	$5,457.82	$12,202.71
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $767.66 / $767.66 / $1,513.91	Facility	54	$767.66	$767.66	$1,513.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.41 / $881.10 / $1,203.43	Professional		$577.41	$881.10	$1,203.43
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $119.62 / $147.60 / $153.53	Professional	55	$119.62	$147.60	$153.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $740.57 / $772.23 / $1,325.62	Professional		$740.57	$772.23	$1,325.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.63 / $1,376.91 / $6,725.10	Facility		$616.63	$1,376.91	$6,725.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.19 / $891.20 / $1,537.67	Professional		$770.19	$891.20	$1,537.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,424.28 / $3,424.28 / $3,424.28	Facility		$3,424.28	$3,424.28	$3,424.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.10 / $981.70 / $1,927.45	Professional		$613.10	$981.70	$1,927.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $701.00 / $939.00 / $1,442.26	Facility		$701.00	$939.00	$1,442.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $493.00 / $493.00 / $3,022.41	Professional		$493.00	$493.00	$3,022.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $521.43 / $907.12	Professional		$69.42	$521.43	$907.12
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 $601.16 / $777.77 / $1,305.64	Professional		$601.16	$777.77	$1,305.64