Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $117.49 / $213.80	Facility		$47.86	$117.49	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $158.49	Professional		$50.12	$72.44	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $112.20	Professional		$64.57	$81.28	$112.20
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $181.97 / $181.97 / $181.97	Professional	50	$181.97	$181.97	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $177.83 / $177.83	Professional		$56.23	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $47.86 / $389.05	Facility		$42.66	$47.86	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $158.49	Professional		$67.61	$102.33	$158.49
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 / $562.34 / $1,621.81	Facility		$223.87	$562.34	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $177.83	Professional		$51.29	$77.62	$177.83