Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,819.70 / $1,995.26	Facility		$630.96	$1,819.70	$1,995.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,019.95 / $3,019.95 / $6,456.54	Facility	50	$3,019.95	$3,019.95	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,288.25	Professional		$457.09	$676.08	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $616.60 / $616.60	Professional	50	$616.60	$616.60	$616.60
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 $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
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 $436.52 / $645.65 / $1,122.02	Professional		$436.52	$645.65	$1,122.02
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 $446.68 / $616.60 / $1,148.15	Professional		$446.68	$616.60	$1,148.15