Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.59 / $520.00 / $1,831.00	Facility		$45.59	$520.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $46.67 / $119.56	Professional		$31.88	$46.67	$119.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $113.01 / $161.29 / $161.29	Professional	50	$113.01	$161.29	$161.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $63.18 / $111.30	Professional		$41.40	$63.18	$111.30
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $62.10 / $62.10 / $62.10	Professional	50	$62.10	$62.10	$62.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.74 / $26.74 / $26.74	Facility		$26.74	$26.74	$26.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $103.00 / $103.00	Professional		$103.00	$103.00	$103.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.63 / $23.09 / $367.28	Facility		$20.63	$23.09	$367.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $63.96 / $101.41	Professional		$40.85	$63.96	$101.41
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 / $513.00 / $1,739.00	Facility		$225.00	$513.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $67.23 / $143.36	Professional		$41.39	$67.23	$143.36