Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,819.70 / $1,995.26	Facility		$741.31	$1,819.70	$1,995.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility	50	$4,265.80	$4,265.80	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,698.24	Professional		$588.84	$812.83	$1,698.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,398.83 / $4,265.80 / $4,677.35	Professional	50	$2,398.83	$4,265.80	$4,677.35
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 $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
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 $549.54 / $794.33 / $1,445.44	Professional		$549.54	$794.33	$1,445.44
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 $562.34 / $758.58 / $1,348.96	Professional		$562.34	$758.58	$1,348.96