Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.11 / $1,250.00 / $2,825.00	Facility		$286.11	$1,250.00	$2,825.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,241.18 / $5,241.18 / $5,241.18	Facility	50	$5,241.18	$5,241.18	$5,241.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.95 / $1,252.01 / $2,499.91	Professional		$263.95	$1,252.01	$2,499.91
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $222.00 / $222.00 / $222.00	Professional	50	$222.00	$222.00	$222.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,282.16 / $4,282.16 / $4,710.38	Facility		$4,282.16	$4,282.16	$4,710.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Professional		$691.00	$691.00	$691.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,452.39 / $4,452.39 / $4,452.39	Facility		$4,452.39	$4,452.39	$4,452.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.34 / $873.58 / $2,353.38	Professional		$352.34	$873.58	$2,353.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $231.22	Professional		$32.34	$32.34	$231.22
United Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $3,445.00 / $8,411.00	Facility		$860.00	$3,445.00	$8,411.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,111.65 / $1,534.88 / $3,076.95	Professional		$1,111.65	$1,534.88	$3,076.95