Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,071.52 / $7,762.47	Facility		$169.82	$1,071.52	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $831.76 / $831.76 / $831.76	Facility	50	$831.76	$831.76	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $251.19 / $707.95	Professional		$102.33	$251.19	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $181.97	Professional		$77.62	$107.15	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,174.90 / $2,187.76	Facility		$562.34	$1,174.90	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $208.93 / $407.38	Professional		$95.50	$208.93	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $549.54	Facility		$426.58	$426.58	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $275.42 / $812.83	Professional		$138.04	$275.42	$812.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $302.00 / $794.33	Facility		$117.49	$302.00	$794.33
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 $1,122.02 / $3,890.45 / $7,762.47	Facility		$1,122.02	$3,890.45	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $275.42 / $977.24	Professional		$112.20	$275.42	$977.24