Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $141.25 / $269.15	Facility		$25.12	$141.25	$269.15
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $177.83 / $281.84 / $281.84	Facility	50	$177.83	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $69.18 / $131.83	Professional		$25.12	$69.18	$131.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $218.78 / $218.78	Professional	50	$138.04	$218.78	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $81.28 / $162.18	Professional		$26.92	$81.28	$162.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $32.36 / $112.20 / $131.83	Professional	50	$32.36	$112.20	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $85.11	Professional		$30.90	$30.90	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $67.61 / $223.87	Facility		$60.26	$67.61	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $79.43 / $173.78	Professional		$27.54	$79.43	$173.78
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 $21.88 / $72.44 / $186.21	Professional		$21.88	$72.44	$186.21