Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.88 / $461.00 / $1,831.00	Facility		$48.88	$461.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $55.19 / $125.00	Professional		$33.90	$55.19	$125.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $252.00 / $252.00 / $252.00	Professional	50	$252.00	$252.00	$252.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $63.06 / $121.28	Professional		$32.53	$63.06	$121.28
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $80.04 / $85.20 / $125.06	Professional	50	$80.04	$85.20	$125.06
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 $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $29.78 / $367.28	Facility		$26.60	$29.78	$367.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $67.02 / $115.15	Professional		$44.00	$67.02	$115.15
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 $45.70 / $58.81 / $133.27	Professional		$45.70	$58.81	$133.27