Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $138.03 / $268.02	Facility		$25.26	$138.03	$268.02
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $176.00 / $176.00 / $282.68	Facility	50	$176.00	$176.00	$282.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $71.19 / $167.79	Professional		$25.68	$71.19	$167.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $64.27 / $100.95	Professional		$7.20	$64.27	$100.95
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $133.19 / $133.19 / $133.19	Professional	50	$133.19	$133.19	$133.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.85 / $87.85 / $87.85	Facility		$87.85	$87.85	$87.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $31.00 / $31.00	Professional		$31.00	$31.00	$31.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.78 / $66.92 / $222.36	Facility		$59.78	$66.92	$222.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $73.42 / $167.18	Professional		$25.44	$73.42	$167.18
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 $212.00 / $464.00 / $1,650.00	Facility		$212.00	$464.00	$1,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $94.42 / $217.16	Professional		$64.17	$94.42	$217.16