Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.15 / $10,720.78 / $42,436.54	Facility		$981.15	$10,720.78	$42,436.54
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $294.04 / $294.04 / $294.04	Facility	52	$294.04	$294.04	$294.04
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $117.62 / $117.62 / $117.62	Facility	53	$117.62	$117.62	$117.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.33 / $625.16 / $1,993.27	Professional		$537.33	$625.16	$1,993.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $744.09 / $744.09 / $951.37	Professional		$744.09	$744.09	$951.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,664.88 / $20,745.63 / $35,129.19	Facility		$10,664.88	$20,745.63	$35,129.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.49 / $1,156.00 / $2,032.59	Professional		$531.49	$1,156.00	$2,032.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,899.19 / $29,127.00 / $58,466.00	Facility		$8,899.19	$29,127.00	$58,466.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.91 / $815.08 / $1,463.05	Professional		$636.91	$815.08	$1,463.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $572.78 / $661.85 / $1,314.67	Facility		$572.78	$661.85	$1,314.67
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $132.37 / $132.37 / $176.49	Facility	80	$132.37	$132.37	$176.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9,635.15 / $9,635.15 / $9,635.15	Professional		$9,635.15	$9,635.15	$9,635.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $511.06 / $648.30 / $987.20	Professional		$511.06	$648.30	$987.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $21,443.00 / $27,446.00	Facility		$3,028.00	$21,443.00	$27,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.22 / $809.69 / $1,281.90	Professional		$573.22	$809.69	$1,281.90