Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $954.99 / $1,995.26	Facility		$123.03	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $234.42	Professional		$75.86	$123.03	$234.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	50	$524.81	$524.81	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $177.83	Professional		$123.03	$173.78	$177.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $186.21 / $186.21	Professional	50	$186.21	$186.21	$186.21
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 $125.89 / $125.89 / $398.11	Professional		$125.89	$125.89	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $380.19 / $426.58	Facility		$346.74	$380.19	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $275.42	Professional		$100.00	$165.96	$275.42
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 $72.44 / $138.04 / $295.12	Professional		$72.44	$138.04	$295.12