Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $1,140.00 / $3,284.22	Facility		$415.00	$1,140.00	$3,284.22
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $950.00 / $1,425.00 / $6,066.63	Facility	50	$950.00	$1,425.00	$6,066.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.80 / $399.75 / $1,043.76	Professional		$198.80	$399.75	$1,043.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $267.81 / $1,000.00 / $1,224.26	Professional	50	$267.81	$1,000.00	$1,224.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $358.37 / $398.65 / $797.29	Professional		$358.37	$398.65	$797.29
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $340.06 / $340.06 / $1,840.62	Professional	50	$340.06	$340.06	$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 $810.00 / $810.00 / $810.00	Professional		$810.00	$810.00	$810.00
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 $268.10 / $457.23 / $816.17	Professional		$268.10	$457.23	$816.17
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 $362.29 / $558.48 / $1,052.53	Professional		$362.29	$558.48	$1,052.53