Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $954.99 / $1,995.26	Facility		$87.10	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $95.50 / $186.21	Professional		$52.48	$95.50	$186.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $512.86 / $512.86 / $851.14	Professional	50	$512.86	$512.86	$851.14
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $141.25 / $141.25	Professional	50	$141.25	$141.25	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $616.60	Facility		$562.34	$562.34	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $512.86	Professional		$239.88	$239.88	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $549.54 / $1,174.90	Facility		$489.78	$549.54	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $263.03	Professional		$74.13	$138.04	$263.03
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 / $1,000.00 / $2,041.74	Facility		$457.09	$1,000.00	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $104.71 / $263.03	Professional		$52.48	$104.71	$263.03