Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,819.70 / $2,884.03	Facility		$512.86	$1,819.70	$2,884.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,019.95 / $3,019.95 / $3,162.28	Facility	50	$3,019.95	$3,019.95	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $1,096.48	Professional		$457.09	$549.54	$1,096.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $1,737.80 / $4,265.80	Professional	50	$151.36	$1,737.80	$4,265.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $524.81	Professional		$263.03	$263.03	$524.81
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $602.56 / $891.25	Professional	50	$602.56	$602.56	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,454.71	Facility		$1,023.29	$1,023.29	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $758.58 / $1,096.48	Professional		$446.68	$758.58	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,621.81 / $4,073.80	Facility		$630.96	$1,621.81	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $1,096.48	Professional		$478.63	$602.56	$1,096.48