Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $5,248.07 / $9,772.37	Facility		$512.86	$5,248.07	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $831.76	Professional		$281.84	$389.05	$831.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $467.74 / $741.31 / $1,995.26	Professional	50	$467.74	$741.31	$1,995.26
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $338.84 / $380.19 / $436.52	Professional	54	$338.84	$380.19	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $407.38	Professional		$223.87	$281.84	$407.38
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $446.68 / $446.68 / $446.68	Professional	50	$446.68	$446.68	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,122.02 / $2,137.96	Facility		$602.56	$1,122.02	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $478.63	Professional		$275.42	$354.81	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $501.19	Facility		$478.63	$478.63	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $691.83	Professional		$239.88	$371.54	$691.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $380.19 / $794.33	Facility		$288.40	$380.19	$794.33
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 $1,096.48 / $3,715.35 / $7,762.47	Facility		$1,096.48	$3,715.35	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $512.86	Professional		$251.19	$323.59	$512.86