Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.18 / $870.90 / $2,640.85	Facility		$216.18	$870.90	$2,640.85
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,425.00 / $1,557.55 / $2,323.14	Facility	50	$1,425.00	$1,557.55	$2,323.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.43 / $159.12 / $410.13	Professional		$82.43	$159.12	$410.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.46 / $429.00 / $510.00	Professional	50	$125.46	$429.00	$510.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $178.39 / $634.07	Professional		$106.87	$178.39	$634.07
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $143.12 / $166.02 / $951.11	Professional	50	$143.12	$166.02	$951.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.09 / $560.09 / $616.10	Facility		$560.09	$560.09	$616.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $254.00 / $254.00	Professional		$254.00	$254.00	$254.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.66 / $494.44 / $1,168.67	Facility		$441.66	$494.44	$1,168.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $203.63 / $339.56	Professional		$109.30	$203.63	$339.56
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 $455.00 / $870.00 / $3,779.00	Facility		$455.00	$870.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.04 / $232.98 / $537.11	Professional		$150.04	$232.98	$537.11