Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $954.99 / $2,818.38	Facility		$208.93	$954.99	$2,818.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility	50	$1,096.48	$1,096.48	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $75.86 / $208.93	Professional		$39.81	$75.86	$208.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $173.78 / $354.81	Professional	50	$125.89	$173.78	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $77.62	Professional		$30.20	$38.90	$77.62
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $51.29 / $102.33 / $275.42	Professional	50	$51.29	$102.33	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $181.97 / $181.97	Professional		$60.26	$181.97	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $51.29 / $645.65	Facility		$46.77	$51.29	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $190.55	Professional		$53.70	$104.71	$190.55
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 $39.81 / $79.43 / $194.98	Professional		$39.81	$79.43	$194.98