Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,000.00 / $2,691.53	Facility		$416.87	$1,000.00	$2,691.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,096.48 / $1,513.56 / $3,630.78	Facility	50	$1,096.48	$1,513.56	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $363.08	Professional		$85.11	$169.82	$363.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $338.84 / $645.65	Professional	50	$131.83	$338.84	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $213.80	Professional		$85.11	$162.18	$213.80
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $204.17 / $295.12	Professional	50	$114.82	$204.17	$295.12
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 $251.19 / $251.19 / $512.86	Professional		$251.19	$251.19	$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 $109.65 / $204.17 / $338.84	Professional		$109.65	$204.17	$338.84
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 $83.18 / $162.18 / $389.05	Professional		$83.18	$162.18	$389.05