Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,412.45 / $4,427.88	Facility		$555.00	$1,412.45	$4,427.88
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $20,699.20 / $20,699.20 / $35,352.25	Facility	50	$20,699.20	$20,699.20	$35,352.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.08 / $1,412.45 / $3,296.40	Professional		$283.08	$1,412.45	$3,296.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $686.43 / $686.43 / $686.43	Professional	50	$686.43	$686.43	$686.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $367.44 / $367.44 / $734.88	Professional		$367.44	$367.44	$734.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $256.29 / $256.29 / $551.16	Professional	50	$256.29	$256.29	$551.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,575.32 / $7,853.88 / $7,853.88	Facility		$6,575.32	$7,853.88	$7,853.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,143.00 / $2,143.00 / $2,143.00	Professional		$2,143.00	$2,143.00	$2,143.00
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 $383.75 / $1,145.04 / $2,957.67	Professional		$383.75	$1,145.04	$2,957.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $265.32	Professional		$32.34	$32.34	$265.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,185.00 / $5,977.00 / $14,043.00	Facility		$1,185.00	$5,977.00	$14,043.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,423.80 / $1,873.84 / $3,940.95	Professional		$1,423.80	$1,873.84	$3,940.95