Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.03 / $549.00 / $1,831.00	Facility		$68.03	$549.00	$1,831.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $793.50 / $793.50 / $1,105.00	Facility	50	$793.50	$793.50	$1,105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $80.15 / $210.00	Professional		$40.57	$80.15	$210.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $93.93 / $161.44	Professional		$34.94	$93.93	$161.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $62.87 / $62.87	Facility		$62.87	$62.87	$62.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $183.00 / $183.00	Professional		$183.00	$183.00	$183.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.85 / $46.85 / $648.21	Facility		$41.85	$46.85	$648.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $100.90 / $182.40	Professional		$54.12	$100.90	$182.40
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 $455.00 / $870.00 / $3,779.00	Facility		$455.00	$870.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $103.04 / $211.10	Professional		$66.88	$103.04	$211.10