Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $5,495.41 / $9,772.37	Facility		$436.52	$5,495.41	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,248.07 / $9,332.54 / $9,332.54	Facility	50	$5,248.07	$9,332.54	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $346.74 / $891.25	Professional		$141.25	$346.74	$891.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $213.80 / $524.81 / $1,698.24	Professional	50	$213.80	$524.81	$1,698.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $257.04	Professional		$102.33	$151.36	$257.04
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $213.80 / $234.42 / $331.13	Professional	50	$213.80	$234.42	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,168.69 / $9,549.93	Facility		$2,041.74	$4,168.69	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $346.74 / $602.56	Professional		$141.25	$346.74	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,089.30 / $2,691.53	Facility		$501.19	$2,089.30	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $371.54 / $794.33	Professional		$173.78	$371.54	$794.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $398.11 / $1,023.29	Facility		$173.78	$398.11	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $11,220.18 / $16,982.44	Facility		$2,754.23	$11,220.18	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $398.11 / $741.31	Professional		$151.36	$398.11	$741.31