Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $954.99 / $2,818.38	Facility		$120.23	$954.99	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $117.49 / $190.55	Professional		$57.54	$117.49	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $154.88	Professional		$77.62	$93.33	$154.88
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $19.50 / $19.50 / $19.95	Professional	52	$19.50	$19.50	$19.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $199.53	Professional		$56.23	$97.72	$199.53
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 $269.15 / $549.54 / $1,621.81	Facility		$269.15	$549.54	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $151.36	Professional		$61.66	$97.72	$151.36