Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.29 / $750.00 / $1,831.00	Facility		$79.29	$750.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $79.29 / $170.02	Professional		$47.53	$79.29	$170.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $195.99 / $195.99 / $195.99	Professional	50	$195.99	$195.99	$195.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $102.49 / $197.89	Professional		$89.88	$102.49	$197.89
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $296.83 / $296.83 / $296.83	Professional	50	$296.83	$296.83	$296.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.92 / $60.92 / $67.01	Facility		$60.92	$60.92	$67.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $382.00 / $382.00	Professional		$382.00	$382.00	$382.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.93 / $52.53 / $58.08	Facility		$46.93	$52.53	$58.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $103.47 / $166.30	Professional		$63.41	$103.47	$166.30
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 $455.00 / $870.00 / $3,779.00	Facility		$455.00	$870.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $97.88 / $212.38	Professional		$73.63	$97.88	$212.38