Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.77 / $750.00 / $4,265.71	Facility		$57.77	$750.00	$4,265.71
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $79.77 / $243.64 / $707.19	Facility	50	$79.77	$243.64	$707.19
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $20.55 / $28.89 / $61.94	Facility	52	$20.55	$28.89	$61.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $63.32 / $165.44	Professional		$42.10	$63.32	$165.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.92 / $89.97 / $236.25	Professional	50	$75.92	$89.97	$236.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $63.47 / $102.28	Professional		$33.03	$63.47	$102.28
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $81.61 / $117.52 / $215.40	Professional	50	$81.61	$117.52	$215.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $40.35 / $40.35	Facility		$40.35	$40.35	$40.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $139.00 / $139.00	Professional		$139.00	$139.00	$139.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $34.79 / $367.28	Facility		$31.09	$34.79	$367.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $82.29 / $139.91	Professional		$53.89	$82.29	$139.91
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 $54.30 / $71.38 / $159.19	Professional		$54.30	$71.38	$159.19