Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,584.89 / $3,388.44	Facility		$147.91	$1,584.89	$3,388.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $912.01 / $2,511.89 / $7,413.10	Facility	50	$912.01	$2,511.89	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $158.49 / $354.81	Professional		$138.04	$158.49	$354.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $239.88 / $389.05 / $602.56	Professional	50	$239.88	$389.05	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $354.81	Professional		$134.90	$173.78	$354.81
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $257.04 / $501.19	Professional	50	$223.87	$257.04	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $812.83	Facility		$724.44	$724.44	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $2,187.76	Facility		$676.08	$676.08	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $338.84	Professional		$144.54	$223.87	$338.84
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 $630.96 / $1,621.81 / $3,162.28	Facility		$630.96	$1,621.81	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $346.74	Professional		$141.25	$190.55	$346.74