Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $776.25 / $1,819.70	Facility		$117.49	$776.25	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $58.88 / $131.83	Professional		$33.88	$58.88	$131.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $107.15 / $251.19	Professional	50	$69.18	$107.15	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $79.43	Professional		$36.31	$51.29	$79.43
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $79.43 / $120.23	Professional	50	$72.44	$79.43	$120.23
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 / $120.23 / $120.23	Professional		$32.36	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $29.51 / $363.08	Facility		$26.30	$29.51	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $120.23	Professional		$44.67	$67.61	$120.23
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 $34.67 / $53.70 / $120.23	Professional		$34.67	$53.70	$120.23