Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.89 / $1,219.71 / $1,836.00	Facility		$649.89	$1,219.71	$1,836.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,081.47 / $4,081.47 / $4,081.47	Facility	50	$4,081.47	$4,081.47	$4,081.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.57 / $612.63 / $1,500.65	Professional		$472.57	$612.63	$1,500.65
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,441.40 / $1,441.40 / $1,441.40	Professional	50	$1,441.40	$1,441.40	$1,441.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,088.02 / $1,088.02 / $1,088.02	Facility		$1,088.02	$1,088.02	$1,088.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $825.00 / $825.00	Professional		$825.00	$825.00	$825.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,061.42 / $1,173.42 / $2,668.68	Facility		$1,061.42	$1,173.42	$2,668.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.64 / $743.77 / $1,218.59	Professional		$477.64	$743.77	$1,218.59
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 / $2,705.00 / $6,150.00	Facility		$717.00	$2,705.00	$6,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.17 / $706.67 / $1,354.49	Professional		$534.17	$706.67	$1,354.49