Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $199.53 / $416.87	Facility		$23.44	$199.53	$416.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $134.90 / $199.53 / $199.53	Facility	50	$134.90	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $52.48 / $107.15	Professional		$23.99	$52.48	$107.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $234.42 / $234.42	Professional	50	$234.42	$234.42	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $107.15	Professional		$50.12	$58.88	$107.15
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $33.88 / $85.11 / $97.72	Professional	50	$33.88	$85.11	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $100.00	Professional		$52.48	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $42.66 / $223.87	Facility		$38.02	$42.66	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $63.10 / $107.15	Professional		$35.48	$63.10	$107.15
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 $213.80 / $537.03 / $1,621.81	Facility		$213.80	$537.03	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $54.95 / $107.15	Professional		$25.70	$54.95	$107.15