Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.00 / $1,831.00 / $7,034.85	Facility		$634.00	$1,831.00	$7,034.85
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $20,697.50 / $20,697.50 / $24,493.40	Facility	50	$20,697.50	$20,697.50	$24,493.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.45 / $1,573.93 / $3,980.27	Professional		$315.45	$1,573.93	$3,980.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.08 / $151.49 / $229.56	Professional	50	$55.08	$151.49	$229.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $189.96 / $408.51	Professional		$147.41	$189.96	$408.51
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $221.14 / $569.87 / $912.00	Professional	50	$221.14	$569.87	$912.00
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 $2,265.00 / $2,265.00 / $2,265.00	Professional		$2,265.00	$2,265.00	$2,265.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,259.11 / $9,259.11 / $9,259.11	Facility		$9,259.11	$9,259.11	$9,259.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.69 / $1,375.18 / $3,612.85	Professional		$428.69	$1,375.18	$3,612.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $295.27	Professional		$32.34	$32.34	$295.27
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 $1,735.38 / $2,238.65 / $4,734.53	Professional		$1,735.38	$2,238.65	$4,734.53