Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.24 / $549.00 / $1,831.00	Facility		$144.24	$549.00	$1,831.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $150.00 / $1,105.00 / $6,198.56	Facility	50	$150.00	$1,105.00	$6,198.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $146.18 / $349.45	Professional		$64.23	$146.18	$349.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $115.43 / $223.52 / $1,471.50	Professional	50	$115.43	$223.52	$1,471.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $100.52 / $177.84	Professional		$100.52	$100.52	$177.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $134.62 / $134.62 / $150.77	Professional	50	$134.62	$134.62	$150.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.31 / $105.21 / $105.21	Facility		$101.31	$105.21	$105.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.00 / $476.00 / $476.00	Professional		$476.00	$476.00	$476.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $186.63 / $357.03	Professional		$99.53	$186.63	$357.03
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 $141.41 / $199.64 / $426.67	Professional		$141.41	$199.64	$426.67