Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $954.99 / $1,995.26	Facility		$177.83	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $407.38	Professional		$162.18	$208.93	$407.38
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $389.05 / $501.19 / $501.19	Professional	54	$389.05	$501.19	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $223.87 / $275.42	Professional		$104.71	$223.87	$275.42
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $102.33 / $102.33 / $102.33	Professional	54	$102.33	$102.33	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $398.11 / $398.11	Professional		$134.90	$398.11	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $134.90 / $295.12	Facility		$120.23	$134.90	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $389.05	Professional		$199.53	$295.12	$389.05
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 / $537.03 / $1,621.81	Facility		$223.87	$537.03	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $407.38	Professional		$158.49	$208.93	$407.38