Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,819.70 / $7,585.78	Facility		$416.87	$1,819.70	$7,585.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility	50	$5,128.61	$5,128.61	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $1,023.29	Professional		$380.19	$457.09	$1,023.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,023.29 / $1,202.26 / $1,819.70	Professional	50	$1,023.29	$1,202.26	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $812.83	Professional		$302.00	$457.09	$812.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $549.54 / $812.83 / $1,479.11	Professional	50	$549.54	$812.83	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,202.26	Facility		$1,096.48	$1,096.48	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,000.00	Professional		$954.99	$954.99	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $954.99 / $2,398.83	Facility		$851.14	$954.99	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $851.14	Professional		$467.74	$660.69	$851.14
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 $794.33 / $2,290.87 / $5,495.41	Facility		$794.33	$2,290.87	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $912.01	Professional		$363.08	$489.78	$912.01