Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,486.82 / $7,254.82	Facility		$900.00	$2,486.82	$7,254.82
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,465.40 / $5,465.40 / $5,465.40	Facility	50	$5,465.40	$5,465.40	$5,465.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $560.37 / $1,237.73	Professional		$512.74	$560.37	$1,237.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $377.83 / $741.43 / $809.63	Professional		$377.83	$741.43	$809.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,453.97 / $1,453.97 / $1,453.97	Facility		$1,453.97	$1,453.97	$1,453.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.00 / $680.00 / $680.00	Professional		$680.00	$680.00	$680.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,591.14 / $1,591.14 / $3,769.37	Facility		$1,591.14	$1,591.14	$3,769.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.54 / $984.75 / $1,304.53	Professional		$609.54	$984.75	$1,304.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $2,062.00 / $6,150.00	Facility		$700.00	$2,062.00	$6,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.13 / $722.26 / $1,657.10	Professional		$553.13	$722.26	$1,657.10