Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $4,897.79 / $15,848.93	Facility		$426.58	$4,897.79	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $1,513.56	Professional		$323.59	$457.09	$1,513.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,258.93 / $9,549.93 / $9,549.93	Professional	50	$1,258.93	$9,549.93	$9,549.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $912.01	Professional		$269.15	$323.59	$912.01
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 $707.95 / $1,230.27 / $2,187.76	Facility		$707.95	$1,230.27	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $1,288.25	Professional		$257.04	$380.19	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $1,288.25	Professional		$323.59	$575.44	$1,288.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $537.03 / $1,698.24	Facility		$323.59	$537.03	$1,698.24
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 $281.84 / $467.74 / $1,318.26	Professional		$281.84	$467.74	$1,318.26