Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $4,265.80 / $8,709.64	Facility		$537.03	$4,265.80	$8,709.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,318.26 / $3,981.07 / $14,125.38	Facility	50	$1,318.26	$3,981.07	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $436.52 / $1,047.13	Professional		$138.04	$436.52	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $446.68	Professional		$131.83	$177.83	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,548.82 / $3,019.95	Facility		$676.08	$1,548.82	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $416.87 / $794.33	Professional		$134.90	$416.87	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,148.15	Facility		$891.25	$891.25	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $436.52 / $1,096.48	Professional		$186.21	$436.52	$1,096.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $446.68 / $1,148.15	Facility		$158.49	$446.68	$1,148.15
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 $1,698.24 / $6,760.83 / $10,000.00	Facility		$1,698.24	$6,760.83	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $457.09 / $1,096.48	Professional		$154.88	$457.09	$1,096.48