Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,047.13 / $1,995.26	Facility		$169.82	$1,047.13	$1,995.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility	50	$1,548.82	$1,548.82	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $389.05	Professional		$100.00	$181.97	$389.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $204.17 / $380.19 / $478.63	Professional	50	$204.17	$380.19	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $177.83 / $239.88	Professional		$91.20	$177.83	$239.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $257.04 / $331.13	Professional	50	$131.83	$257.04	$331.13
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 $295.12 / $295.12 / $512.86	Professional		$295.12	$295.12	$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 $128.82 / $229.09 / $371.54	Professional		$128.82	$229.09	$371.54
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 / $2,041.74	Facility		$457.09	$1,000.00	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $436.52	Professional		$97.72	$186.21	$436.52