Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.12 / $497.04 / $1,403.60	Facility		$259.12	$497.04	$1,403.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $242.25 / $290.70 / $1,016.07	Facility	50	$242.25	$290.70	$1,016.07
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $22.92 / $22.92 / $33.15	Facility	52	$22.92	$22.92	$33.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $68.62 / $238.59	Professional		$45.59	$68.62	$238.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $65.12 / $149.44 / $414.84	Professional	50	$65.12	$149.44	$414.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $60.18 / $76.70	Professional		$42.85	$60.18	$76.70
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $68.20 / $83.62 / $95.99	Professional	50	$68.20	$83.62	$95.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.42 / $919.20 / $1,544.06	Facility		$258.42	$919.20	$1,544.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $60.32 / $93.37	Professional		$33.82	$60.32	$93.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $83.02 / $127.42	Professional		$54.64	$83.02	$127.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $32.34 / $99.48	Professional		$18.53	$32.34	$99.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.41 / $65.31 / $104.62	Facility		$43.41	$65.31	$104.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $88.44 / $130.51	Professional		$58.38	$88.44	$130.51
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $98.94 / $140.62	Professional		$77.88	$98.94	$140.62
United Facility/Professional Professional Modifier 50 Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	50	$80.00	$80.00	$80.00