Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $2,570.40 / $9,332.54	Facility		$234.42	$2,570.40	$9,332.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,290.87 / $6,025.60 / $12,302.69	Facility	50	$2,290.87	$6,025.60	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $724.44	Professional		$181.97	$323.59	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $501.19 / $1,479.11	Professional	50	$85.11	$501.19	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $489.78	Professional		$85.11	$169.82	$489.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $151.36 / $446.68	Professional	50	$123.03	$151.36	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,548.13 / $9,549.93	Facility		$954.99	$3,548.13	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $588.84	Professional		$154.88	$295.12	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,778.28 / $2,290.87	Facility		$501.19	$1,778.28	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $602.56	Professional		$218.78	$407.38	$602.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $398.11 / $676.08	Facility		$213.80	$398.11	$676.08
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 $2,754.23 / $11,220.18 / $16,982.44	Facility		$2,754.23	$11,220.18	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $616.60	Professional		$173.78	$316.23	$616.60