Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $933.25 / $1,995.26	Facility		$154.88	$933.25	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $144.54 / $239.88	Professional		$51.29	$144.54	$239.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $331.13 / $363.08	Professional	50	$331.13	$331.13	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $138.04 / $165.96	Professional		$35.48	$138.04	$165.96
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $131.83 / $131.83	Professional	50	$131.83	$131.83	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $213.80	Professional		$54.95	$107.15	$213.80
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 $223.87 / $549.54 / $1,621.81	Facility		$223.87	$549.54	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $117.49 / $257.04	Professional		$54.95	$117.49	$257.04