Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.78 / $750.00 / $1,831.00	Facility		$67.78	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $887.22 / $887.22 / $887.22	Facility	50	$887.22	$887.22	$887.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $81.88 / $177.76	Professional		$49.96	$81.88	$177.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.39 / $278.00 / $350.00	Professional	50	$72.39	$278.00	$350.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $89.87 / $89.87 / $89.87	Professional	50	$89.87	$89.87	$89.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.32 / $45.32 / $49.85	Facility		$45.32	$45.32	$49.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $243.00 / $243.00	Professional		$243.00	$243.00	$243.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $37.14 / $648.21	Facility		$33.18	$37.14	$648.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $109.39 / $191.56	Professional		$62.14	$109.39	$191.56
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 $225.00 / $567.00 / $1,888.00	Facility		$225.00	$567.00	$1,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $117.28 / $216.88	Professional		$63.50	$117.28	$216.88