Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.63 / $1,040.00 / $4,003.66	Facility		$318.63	$1,040.00	$4,003.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $172.90 / $451.50	Professional		$61.58	$172.90	$451.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $186.90 / $226.14	Professional		$58.65	$186.90	$226.14
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $109.96 / $109.96 / $109.96	Professional	50	$109.96	$109.96	$109.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $292.00 / $292.00	Professional		$292.00	$292.00	$292.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $165.72 / $387.33	Professional		$80.87	$165.72	$387.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $171.40	Professional		$32.34	$32.34	$171.40
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $537.00 / $1,893.00	Facility		$225.00	$537.00	$1,893.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.32 / $243.84 / $542.69	Professional		$186.32	$243.84	$542.69