Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.41 / $900.00 / $1,831.00	Facility		$88.41	$900.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $90.79 / $224.40	Professional		$55.79	$90.79	$224.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.50 / $211.13 / $496.86	Professional	50	$114.50	$211.13	$496.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $119.25 / $217.40	Professional		$82.61	$119.25	$217.40
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $106.95 / $169.57 / $326.10	Professional	50	$106.95	$169.57	$326.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.25 / $70.25 / $77.27	Facility		$70.25	$70.25	$77.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.00 / $327.00 / $327.00	Professional		$327.00	$327.00	$327.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.42 / $57.56 / $63.63	Facility		$51.42	$57.56	$63.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $117.69 / $189.63	Professional		$72.98	$117.69	$189.63
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 $78.26 / $101.56 / $237.84	Professional		$78.26	$101.56	$237.84