Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,043.22 / $5,721.10 / $11,025.00	Facility		$2,043.22	$5,721.10	$11,025.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $694.52 / $694.52 / $1,613.91	Facility	54	$694.52	$694.52	$1,613.91
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $138.90 / $138.90 / $322.77	Facility	55	$138.90	$138.90	$322.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.02 / $926.03 / $1,257.79	Professional		$715.02	$926.03	$1,257.79
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $536.27 / $694.52 / $791.63	Professional	54	$536.27	$694.52	$791.63
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $107.25 / $138.90 / $158.09	Professional	55	$107.25	$138.90	$158.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $678.76 / $912.48 / $1,115.72	Professional		$678.76	$912.48	$1,115.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,103.23 / $4,374.89 / $9,574.78	Facility		$2,103.23	$4,374.89	$9,574.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.91 / $1,077.00 / $1,915.68	Professional		$705.91	$1,077.00	$1,915.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,985.43 / $1,985.43 / $1,985.43	Facility		$1,985.43	$1,985.43	$1,985.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.39 / $1,070.80 / $2,074.44	Professional		$814.39	$1,070.80	$2,074.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $759.72 / $1,052.31 / $1,842.42	Facility		$759.72	$1,052.31	$1,842.42
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,335.00 / $1,578.47 / $2,241.00	Facility	50	$1,335.00	$1,578.47	$2,241.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,444.00 / $1,444.00 / $1,675.17	Professional		$1,444.00	$1,444.00	$1,675.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $519.68 / $809.62	Professional		$69.42	$519.68	$809.62
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 $665.64 / $847.58 / $1,784.66	Professional		$665.64	$847.58	$1,784.66