Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.92 / $750.00 / $1,831.00	Facility		$72.92	$750.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $72.92 / $170.17	Professional		$50.09	$72.92	$170.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $94.98 / $175.95 / $226.52	Professional	50	$94.98	$175.95	$226.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $69.31 / $182.40	Professional		$28.15	$69.31	$182.40
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $145.56 / $145.56 / $218.34	Professional	50	$145.56	$145.56	$218.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Facility		$53.95	$53.95	$53.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $141.00 / $141.00	Professional		$141.00	$141.00	$141.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.85 / $46.85 / $367.28	Facility		$41.85	$46.85	$367.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.04 / $98.87 / $151.01	Professional		$67.04	$98.87	$151.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $529.00 / $1,650.00	Facility		$225.00	$529.00	$1,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $88.85 / $173.04	Professional		$69.02	$88.85	$173.04