Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.18 / $2,838.15 / $14,691.00	Facility		$848.18	$2,838.15	$14,691.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $169.64 / $169.64 / $169.64	Facility	53	$169.64	$169.64	$169.64
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $636.14 / $636.14 / $636.14	Facility	54	$636.14	$636.14	$636.14
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $127.23 / $127.23 / $127.23	Facility	55	$127.23	$127.23	$127.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.94 / $820.18 / $975.40	Professional		$584.94	$820.18	$975.40
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $87.79 / $123.03 / $127.23	Professional	55	$87.79	$123.03	$127.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $623.28 / $623.28 / $1,020.78	Professional		$623.28	$623.28	$1,020.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,123.46 / $4,701.25 / $9,574.78	Facility		$2,123.46	$4,701.25	$9,574.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.28 / $1,721.00 / $2,425.00	Professional		$623.28	$1,721.00	$2,425.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,147.20 / $6,147.20 / $6,147.20	Facility		$6,147.20	$6,147.20	$6,147.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.43 / $900.57 / $1,604.64	Professional		$675.43	$900.57	$1,604.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $654.70 / $897.16 / $1,017.82	Facility		$654.70	$897.16	$1,017.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,115.88 / $5,115.88 / $5,115.88	Professional		$5,115.88	$5,115.88	$5,115.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $415.74 / $726.74	Professional		$74.20	$415.74	$726.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,959.00 / $25,758.00	Facility		$2,912.00	$16,959.00	$25,758.00
United Facility/Professional Professional Modifier Low / Median / High Price $605.85 / $712.77 / $1,233.85	Professional		$605.85	$712.77	$1,233.85