Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $25.02 / $115.42	Facility		$16.54	$25.02	$115.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $28.94 / $53.64	Professional		$16.54	$28.94	$53.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $62.62 / $62.62 / $62.62	Professional	50	$62.62	$62.62	$62.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $29.94 / $52.68	Professional		$29.94	$29.94	$52.68
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $44.91 / $44.91 / $44.91	Professional	50	$44.91	$44.91	$44.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $18.29 / $18.29	Facility		$18.29	$18.29	$18.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $14.39 / $222.36	Facility		$12.85	$14.39	$222.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $43.09 / $64.97	Professional		$20.91	$43.09	$64.97
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 $24.85 / $37.20 / $82.02	Professional		$24.85	$37.20	$82.02