Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.33 / $9,062.00 / $17,879.75	Facility		$1,121.33	$9,062.00	$17,879.75
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $841.00 / $841.00 / $1,843.40	Facility	54	$841.00	$841.00	$1,843.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.73 / $1,058.59 / $1,276.77	Professional		$711.73	$1,058.59	$1,276.77
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $129.97 / $164.93 / $180.73	Professional	55	$129.97	$164.93	$180.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $902.76 / $902.76 / $902.76	Professional		$902.76	$902.76	$902.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,124.57 / $5,905.36 / $9,768.20	Facility		$3,124.57	$5,905.36	$9,768.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $824.79 / $1,248.00 / $1,950.54	Professional		$824.79	$1,248.00	$1,950.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $945.00 / $1,985.43	Facility		$945.00	$945.00	$1,985.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.46 / $1,151.69 / $2,225.00	Professional		$746.46	$1,151.69	$2,225.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $1,114.05 / $1,760.22	Facility		$816.00	$1,114.05	$1,760.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,226.00 / $1,226.00 / $1,675.17	Professional		$1,226.00	$1,226.00	$1,675.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $621.10 / $993.64	Professional		$69.42	$621.10	$993.64
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 $733.82 / $924.31 / $1,524.67	Professional		$733.82	$924.31	$1,524.67