Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.79 / $136.06 / $418.17	Facility		$24.79	$136.06	$418.17
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $134.01 / $197.71 / $198.09	Facility	50	$134.01	$197.71	$198.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $48.97 / $120.43	Professional		$25.52	$48.97	$120.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $27.53 / $64.79	Professional		$22.77	$27.53	$64.79
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $97.18 / $97.18 / $97.18	Professional	50	$97.18	$97.18	$97.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.89 / $54.89 / $54.89	Facility		$54.89	$54.89	$54.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.26 / $42.83 / $222.36	Facility		$38.26	$42.83	$222.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $63.17 / $106.03	Professional		$35.75	$63.17	$106.03
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 $48.72 / $64.95 / $131.87	Professional		$48.72	$64.95	$131.87