Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $933.25 / $1,995.26	Facility		$85.11	$933.25	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $69.18 / $154.88	Professional		$38.02	$69.18	$154.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $169.82 / $295.12	Professional	50	$123.03	$169.82	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $57.54 / $93.33	Professional		$34.67	$57.54	$93.33
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $85.11 / $177.83	Professional	50	$75.86	$85.11	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $123.03 / $123.03	Professional		$32.36	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $30.20 / $363.08	Facility		$26.92	$30.20	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $114.82	Professional		$47.86	$69.18	$114.82
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 $223.87 / $562.34 / $1,621.81	Facility		$223.87	$562.34	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $123.03	Professional		$36.31	$56.23	$123.03