Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.52 / $950.00 / $2,825.00	Facility		$394.52	$950.00	$2,825.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $726.25 / $726.25 / $726.25	Facility	50	$726.25	$726.25	$726.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.94 / $403.61 / $1,034.61	Professional		$202.94	$403.61	$1,034.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $202.39 / $202.39 / $202.39	Professional		$202.39	$202.39	$202.39
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,840.62 / $1,840.62 / $1,840.62	Professional	50	$1,840.62	$1,840.62	$1,840.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,035.83 / $1,035.83 / $1,035.83	Facility		$1,035.83	$1,035.83	$1,035.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $827.00 / $827.00 / $827.00	Professional		$827.00	$827.00	$827.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.73 / $956.86 / $2,556.29	Facility		$854.73	$956.86	$2,556.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.19 / $462.24 / $825.10	Professional		$272.19	$462.24	$825.10
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 $717.00 / $2,262.00 / $6,928.00	Facility		$717.00	$2,262.00	$6,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.03 / $592.04 / $1,063.82	Professional		$367.03	$592.04	$1,063.82