Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,819.70 / $1,995.26	Facility		$645.65	$1,819.70	$1,995.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility	50	$4,073.80	$4,073.80	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $1,288.25	Professional		$489.78	$707.95	$1,288.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3,981.07 / $3,981.07 / $4,073.80	Professional	50	$3,981.07	$3,981.07	$4,073.80
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	50	$302.00	$302.00	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $2,691.53	Facility		$1,071.52	$1,174.90	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,230.27	Professional		$478.63	$707.95	$1,230.27
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 $812.83 / $2,691.53 / $6,025.60	Facility		$812.83	$2,691.53	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,230.27	Professional		$489.78	$660.69	$1,230.27