Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.83 / $767.38 / $1,831.00	Facility		$72.83	$767.38	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $74.33 / $176.44	Professional		$42.30	$74.33	$176.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.50 / $208.50 / $208.50	Professional	50	$208.50	$208.50	$208.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $94.68 / $182.80	Professional		$56.18	$94.68	$182.80
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $152.94 / $152.94 / $152.94	Professional	50	$152.94	$152.94	$152.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $59.24	Facility		$53.85	$53.85	$59.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.00 / $372.00 / $372.00	Professional		$372.00	$372.00	$372.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.54 / $49.86 / $55.13	Facility		$44.54	$49.86	$55.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $92.38 / $150.21	Professional		$55.58	$92.38	$150.21
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 $66.56 / $82.23 / $191.67	Professional		$66.56	$82.23	$191.67