Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $954.99 / $2,630.27	Facility		$239.88	$954.99	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $239.88 / $478.63	Professional		$120.23	$239.88	$478.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,096.48 / $1,318.26 / $1,318.26	Professional	50	$1,096.48	$1,318.26	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $407.38	Professional		$114.82	$165.96	$407.38
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $223.87 / $251.19	Professional	50	$223.87	$223.87	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $616.60	Facility		$562.34	$562.34	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $512.86	Professional		$363.08	$363.08	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $489.78 / $1,174.90	Facility		$446.68	$489.78	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $489.78	Professional		$158.49	$263.03	$489.78
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 $457.09 / $1,000.00 / $1,862.09	Facility		$457.09	$1,000.00	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $239.88 / $537.03	Professional		$123.03	$239.88	$537.03