Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,246.67 / $4,643.10	Facility		$625.00	$2,246.67	$4,643.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,349.02 / $5,349.02 / $5,349.02	Facility	50	$5,349.02	$5,349.02	$5,349.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.94 / $403.59 / $891.44	Professional		$363.94	$403.59	$891.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.82 / $396.98 / $991.45	Professional		$194.82	$396.98	$991.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,453.97 / $1,453.97 / $1,453.97	Facility		$1,453.97	$1,453.97	$1,453.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $870.00 / $870.00	Professional		$870.00	$870.00	$870.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,591.14 / $1,591.14 / $4,076.93	Facility		$1,591.14	$1,591.14	$4,076.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.25 / $658.40 / $876.11	Professional		$471.25	$658.40	$876.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $2,062.00 / $6,150.00	Facility		$700.00	$2,062.00	$6,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $398.76 / $541.26 / $1,038.97	Professional		$398.76	$541.26	$1,038.97