Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $954.99 / $1,995.26	Facility		$245.47	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $194.98 / $416.87	Professional		$75.86	$194.98	$416.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $114.82 / $208.93	Professional	50	$109.65	$114.82	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $79.43 / $223.87	Professional		$31.62	$79.43	$223.87
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $45.71 / $45.71 / $45.71	Professional	50	$45.71	$45.71	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $223.87	Facility		$72.44	$72.44	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $194.98 / $363.08	Professional		$77.62	$194.98	$363.08
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 $75.86 / $204.17 / $446.68	Professional		$75.86	$204.17	$446.68