Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $549.00 / $1,831.00	Facility		$51.45	$549.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $58.49 / $130.60	Professional		$35.90	$58.49	$130.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $95.48 / $123.24 / $295.50	Professional	50	$95.48	$123.24	$295.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $68.56 / $128.88	Professional		$48.97	$68.56	$128.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $91.82 / $100.52 / $115.52	Professional	50	$91.82	$100.52	$115.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.77 / $33.77 / $33.77	Facility		$33.77	$33.77	$33.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $124.00 / $124.00	Professional		$124.00	$124.00	$124.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $30.11 / $367.28	Facility		$26.90	$30.11	$367.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.47 / $70.93 / $115.85	Professional		$46.47	$70.93	$115.85
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 / $513.00 / $1,739.00	Facility		$225.00	$513.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.24 / $133.27	Professional		$47.86	$60.24	$133.27