Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.62 / $1,295.00 / $7,519.63	Facility		$415.62	$1,295.00	$7,519.63
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,175.17 / $5,175.17 / $14,489.64	Facility	50	$5,175.17	$5,175.17	$14,489.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.14 / $431.07 / $1,249.63	Professional		$366.14	$431.07	$1,249.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,189.50 / $1,189.50 / $1,189.50	Professional	50	$1,189.50	$1,189.50	$1,189.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.02 / $511.53 / $982.20	Professional		$275.02	$511.53	$982.20
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $548.05 / $767.29 / $825.05	Professional	50	$548.05	$767.29	$825.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,087.61 / $1,087.61 / $1,196.38	Facility		$1,087.61	$1,087.61	$1,196.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $948.00 / $948.00 / $948.00	Professional		$948.00	$948.00	$948.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.73 / $956.86 / $2,406.80	Facility		$854.73	$956.86	$2,406.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.55 / $662.67 / $853.99	Professional		$430.55	$662.67	$853.99
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 / $2,148.00 / $6,612.00	Facility		$717.00	$2,148.00	$6,612.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.62 / $529.98 / $1,098.69	Professional		$375.62	$529.98	$1,098.69