Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,606.93 / $11,748.98	Facility		$1,659.59	$6,606.93	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $2,137.96	Professional		$489.78	$676.08	$2,137.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional	50	$2,187.76	$2,187.76	$2,187.76
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $281.84 / $562.34 / $851.14	Professional	54	$281.84	$562.34	$851.14
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $95.50 / $190.55 / $870.96	Professional	55	$95.50	$190.55	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $1,000.00	Professional		$407.38	$489.78	$1,000.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $794.33 / $794.33 / $794.33	Professional	50	$794.33	$794.33	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,981.07 / $8,709.64	Facility		$1,659.59	$3,981.07	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,023.29 / $1,548.82	Professional		$457.09	$1,023.29	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,995.26	Facility		$1,122.02	$1,122.02	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $831.76 / $1,380.38	Professional		$389.05	$831.76	$1,380.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $851.14 / $1,862.09	Facility		$524.81	$851.14	$1,862.09
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 $1,995.26 / $10,964.78 / $16,982.44	Facility		$1,995.26	$10,964.78	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,071.52	Professional		$478.63	$630.96	$1,071.52