Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.06 / $29,124.40 / $54,711.56	Facility		$958.06	$29,124.40	$54,711.56
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $191.61 / $191.61 / $191.61	Facility	53	$191.61	$191.61	$191.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $895.39 / $1,087.27 / $2,745.26	Professional		$895.39	$1,087.27	$2,745.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,529.82 / $1,529.82 / $1,529.82	Professional		$1,529.82	$1,529.82	$1,529.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,636.10 / $18,002.54 / $40,155.26	Facility		$5,636.10	$18,002.54	$40,155.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.65 / $1,856.43 / $2,493.58	Professional		$854.65	$1,856.43	$2,493.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,095.00 / $6,095.00 / $35,000.00	Facility		$6,095.00	$6,095.00	$35,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,155.35 / $1,481.17 / $2,383.52	Professional		$1,155.35	$1,481.17	$2,383.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $958.06 / $1,203.11 / $2,493.62	Facility		$958.06	$1,203.11	$2,493.62
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $240.62 / $240.62 / $320.83	Facility	80	$240.62	$240.62	$320.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $839.61 / $1,067.40 / $1,614.97	Professional		$839.61	$1,067.40	$1,614.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $23,639.00 / $37,893.00	Facility		$3,960.00	$23,639.00	$37,893.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,089.38 / $1,733.04 / $2,875.65	Professional		$1,089.38	$1,733.04	$2,875.65