Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.00 / $1,285.00 / $7,168.64	Facility		$601.00	$1,285.00	$7,168.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,363.00 / $2,363.00 / $2,363.00	Facility	50	$2,363.00	$2,363.00	$2,363.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.81 / $1,328.16 / $2,977.56	Professional		$297.81	$1,328.16	$2,977.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $248.74 / $248.74 / $248.74	Professional	50	$248.74	$248.74	$248.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $332.83 / $665.68	Professional		$129.25	$332.83	$665.68
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $397.78 / $499.26 / $499.26	Professional	50	$397.78	$499.26	$499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.00 / $764.00 / $764.00	Professional		$764.00	$764.00	$764.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.07 / $781.15 / $2,979.67	Professional		$388.07	$781.15	$2,979.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $241.98	Professional		$32.34	$32.34	$241.98
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $529.00 / $1,650.00	Facility		$225.00	$529.00	$1,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,354.55 / $1,794.17 / $3,749.27	Professional		$1,354.55	$1,794.17	$3,749.27