Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.12 / $9,266.75 / $16,467.00	Facility		$773.12	$9,266.75	$16,467.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $579.84 / $579.84 / $1,922.76	Facility	54	$579.84	$579.84	$1,922.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.92 / $792.62 / $1,256.85	Professional		$722.92	$792.62	$1,256.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $465.92 / $567.11 / $567.11	Professional		$465.92	$567.11	$567.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,051.55 / $9,359.61 / $16,253.85	Facility		$4,051.55	$9,359.61	$16,253.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.11 / $916.00 / $1,665.50	Professional		$567.11	$916.00	$1,665.50
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 $726.88 / $1,202.53 / $1,573.25	Professional		$726.88	$1,202.53	$1,573.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $722.92 / $1,099.08 / $1,484.76	Facility		$722.92	$1,099.08	$1,484.76
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $164.46 / $257.55 / $262.52	Facility	80	$164.46	$257.55	$262.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,022.41 / $3,022.41 / $3,022.41	Professional		$3,022.41	$3,022.41	$3,022.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $391.00 / $666.78	Professional		$69.42	$391.00	$666.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,666.00 / $16,223.00 / $23,485.00	Facility		$2,666.00	$16,223.00	$23,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.27 / $1,003.24 / $1,757.87	Professional		$786.27	$1,003.24	$1,757.87