Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,023.29 / $1,995.26	Facility		$144.54	$1,023.29	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $245.47	Professional		$56.23	$93.33	$245.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $389.05 / $416.87	Professional	50	$371.54	$389.05	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $107.15 / $489.78	Professional		$46.77	$107.15	$489.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $151.36 / $151.36	Professional	50	$151.36	$151.36	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $398.11	Professional		$186.21	$186.21	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $426.58 / $645.65	Facility		$380.19	$426.58	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $239.88	Professional		$75.86	$128.82	$239.88
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 $457.09 / $954.99 / $1,949.84	Facility		$457.09	$954.99	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $251.19	Professional		$56.23	$104.71	$251.19